Аппарат для выполнения оптической когерентной томографии: принадлежности к системе внутрисосудистой визуализации Optis™ Mobile:

Беларусь - русский - Министерством здравоохранения Республики (Центр экспертиз и испытаний в здравоохранении)

Доступна с:
Abbott Medical, СОЕДИНЕННЫЕ ШТАТЫ АМЕРИКИ
класс:
медицинская техника
Производитель:
Abbott Medical
Количество Авторизация:
Мт-7.120252/7.002-1910
Дата Авторизация:
2020-04-07

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4onycrcaftte

nonaAaHrfl

BJraru

Ha

6nor rrrraHrrr

dorcosoro

nyJrbTa

yrrpaBneHnf.

7.

floArrtroqnre

USB-xa6ers

or

6roxa

rrvraHufr

6orosoro

ryJrETa

yrrpaBJreHr{r

K

gnxgeft

qacrr,I

ITvJIETa.

Mo6ururan

cncreMa

OPTISTM

Hnmpyxqr.rr

rro

[p]rMeHeHr.rro

ffiAbbof,r

Hacrpofira

crrcreMbr

IlolrsrroqeHrre

cncreMbl

flogxnpqeHne

crcreMbl

IIPUMETIAHIIE.

Bunomrure

Bce

coeArrHeHur

cr,rcreMbr,

npexAe

qeM

no4aBarb

nuTaHue.

Coegnnexnn

chcreMbl

Pasreu,

qepes

xoropuft

cncreMa

noAcoeAr{Hrrercr

K

HcroqH}rr(y

nvrranvrfls

noKa3aH Ha

puc.2-1.

Pncyuox

2-1.

floarcrnoqeHr{e

flvrannfl.

r

rrao6ulrsoft

cncreue

OPTISTM

,

fr|abbotr

Abbott

Medical

Apruryr

ARTRU60

0022053

Hacrpofirca

clrcreMbr

rloArc.lrroqeHrre

cncreMbl

l'lo4rntoqeHlte

BHeuHero

qBerHoro

Mol{trropa

K

uo6ulrsofi

cucreue OPTIS

rM

naoxHo

floAK[roqurb

sHeuHr,rfi

MoHHTop

c

pa3pelueHl{eu

1280

x1024

nurceneft

qepe3

en4eoxa6elr

(ceporo

rlBera,

cM.

puc.

2-2sa

crp.

2-5).

PncyHor 2-2.

flpucoeAlnHeHue

ltrBernono

MoHr{Topa

v

rruHytr4

[epeAaqn

B[rAeo

flogxn

toqeHt,te

K

n

u

H

lt

lt

nepegaq

x

En4eo

pe]trreHo

rpa$r,l.r

Mo6unrnylo

crlcreMy

OPTISTM

Mo)KHo

noAKlrorruTl

rc

sHeurHeft

Jrr,rHr{r.r

nepeAar{H

BHAeo

peHTreHorpa$uu.,{ra

storo

ucnoJrb3yror

ra6enr

Bxo.qHoro

Br{AeocurHala

(seleuoro

rlBera,

cM.

pr4c.

2-2),xoropufi

pacnoloxeH

Ha

cropoHe

Bpaqa.

IIPI'IMETIAHIIE.

Bo

BpeMt

npo$urarrNqecKoro

o6clyxuraHr,rr

Bce

Jrr{Hr{Lr

nepeAaqn

Br{Aeo

cneAyer

orKrroqarb

or

KoMMyrarluousoft

naHeJrr.r.

IIPI{METIAHItrE.

Bo ug6exauue

noBpexAeHnr

pa3beMon

ueo6xoguMo

HaArrexarqr,rM

o6pasou

pacnoJrararb

r.rx

orHocr{TeJrbHo

Apyr

Apyra

repeA

coeAr.rHeHlreM.

IPI,IMEIIAHIIE.

Y6elnrecb,

rITo

Bce

pa3beMbl

coeAr{HeHbr

HaAJrexauluu

o6pasou

u

BCe

KpeflexHhre

Br.rrrTbr

3aTrHyThI.

Mo6uruuas

cr{creMa

OPTISTM

Hnmpyrqr.rr

no

npr,rMeHeHr,rrc

ffi^&bbort

Hacrpoftxa

cncreMbr

Brflroqeu[e

rruranrlr

rr

3aBep[eHne

pa6oru

cucreMbr

BxnpqeHne

nnraHnf,

n

3aBepueHne

Jta6orbt

ctrcreMbl

Y6e4utecr,

rITo

mHyp

rrvlTannfr noAcoeAr,rHer{

K

cr,rcreMe r{

noArJrroqeH

K

gageureusofi

po3erKe

greKrpocern.

9m6sr

turryp

ilLrraHvrfl

He Harmr,rB

anct,

sa$urcnpyftre

ero

KpenJIeHI,IeM

Ha

pa3beMe

gneKTporrvrarrvn.

Tlle6onaunr,

[peAbrBJrreMbre

K

SreKrponHTaHLIto,

no4po6Ho

onucaHbl

B

pa3,qr3Jle

<HaAlexaulee

noAKnloqeHrae

cucreMbr

K

oneKrptrqecrofi

cerr.rD

Ha

crp.

ll-10.

OCTOPOII(HO

!

Ilcno;rrgoparb

nepexoAHrrKrr

AJrfl

rroArcJrrorreunfl

TpexnoHTarcrHofi

BuJrKtrr

nnranlrfl

K

He3aseMJrenHoft

Hac.ressofi

pSeTKe

nepeMeHHoro

roKa

c

AByMfl

KoHTaKTaMr.r

3anpeqeHo.

9ro uoxer

nprrBecrrr

K

nopaxeHrlro

naqrreuTa

[Jrrr

oneparopa

gneKTpuqecnrr

M

ToKoM

rrJr

rr

rroBpexAeHn

ro

o6opygonau

ur.

Brnpqetne

nHTaHytn

{ro6rr

BKJrroqr,rrb

n}rraHr,re

cprcreMbr:

,{la

ur.moueHl,It

nlITaHI,It

crrcreMbl

HalKMI,rre

ocnosHoft BbrKJlroqarenbnvraHufl*

pac[oJloxessnfi

y

ocHoBaHr{fl

TeJrexKLr

(crra.

prac.

l-1

sa

crp. l-5).

Y6e4urccr,

.no

o6a

MoHltropa

BKJrrorrl{,Irr,rcb,

npoBeprrB,

3aropeJrr{cb

Jrr,r

coorBercrByroqne

r,rHAr,rKaropu.

flo4po6nbre

cBeAeHr.tr

cM.

B

pa3Aele

<Hacrpofirca

MoHHTopoB>

ua

crp.

2-l

l.

1.

2.

ilq?Fift

Et.tbbo6G

Abbott

Medical

Aprurcyn

ARTRU60

00220

53

Hacrpoftrca

cncreMbl

Brcflro.IeHue

n[Tannfl

lr

gaBepuenne

pa6orBr

cucreMbl

3.

.{nr

sanycxa cncreMbr

HaxMr{Te

KHonKy

(BKlrroqeHo/xayqufi

pexr{MD,

pacnoJloxeHrryrc

B

BepxHeM

npaBoM

yrJry

AepxareJrr

KJraBHarypu

(cu.

pnc.

l-l

Ha

crp.

l-5).

Ha

uouurope

oneparopa,

MoHI{Tope

Bpaqa }r

MoHr.rrope

Ha

KpoHrxrefine

norBr,rrcr

oKHo

3anycKa

cr.rcr€rMbr

(puc.

2-3).

Ceegexnn

o Bepcur4

nporpaMMHoro

o6ecneqexns

u

aBTOpCKUX

npaBax

Pucyuox 2-3.

Orso

3anycKa

TIPIIMETIAHIIE.

B

gasuculvlocrn

or

crpaHbl,

n

xoropoft

eKcrrryarr,rpyercfl

cr{creMa,

flpu

uepBoM 3anycKe

Moxer

6nrr

npegloxeHo nn6parr

qgnrc.

B

Aamsefiruerrr

est6op

Moxer

6rrrr

ugueseu.

Crr,r.

<MeHrc

<Setup

-

Localization>

(Hacrpofirca

-

pefroHanbHue

uacrpofixu)>

Ha

crp.

l0-43

TIPLIMETIAHIIE.

flpn

nepnoM

3arycKe

AaHHofo

rporpaMMHoro

o6ecne.reHr,rr

oroOpaxaercfl

JrHrIeH3uoHHoe

corJrarrreHue

c

KoHeqHbrM

roJrb3oBareneur

(End

User

Licence Agreement,

EULA).

.fta

[poAoJrxeHu.s neo6xoAlrMo

npoqnrarb

corJrarueHr,re

EULA

ra

npnHrrb ero,

nocraBr{B

orMerKy

y yrBepxAenus

<<I

agree

to the

terms

of

the

ELILA)

(.f,

conracen

(conraura)

c

ycnoBr{rMr,r

corrrarrreHur

EIJLA).

IIPIIMETIAHIIE.

flocre

BKJrnqeHnr cr{creMbr

r,r

[orBJreHHr

cucreMHoro

oKHa

Moxer

norpeooBarbcr

oTperyJrHpoBaTb

flpKocTb

r.r

KoHTpacTHocTb

nso6paxeuvfl

Ha

MoHr,rropax.

CoorsercrByroqar

nporleAypa

onl,IcblBaerct

B

pa3AeJIe

<<HacrpofiKa

MoHtrropoB)

Ha

crp.

2-l

l.

Mo6nmnas

cncreMa

OPTISTM

I4ucrpyrcqur no

npr.rMeHeHr,rro

ffiqh

EJ

Atubot&

Hacrpoftra

crrcreMbr

BruroqeHne

nrrraHufl

rr

3aBepuenne

pa6orrr

c[creMbl

3aeepuerxe

pa6orbt

u

BbustKrqeHue

crcreMbl

BHIIMAHIIE.

OrcoeAunsrb

cncreMy

or cern

flepeMenHoro

ror(a

rrJrn

Bbr

KJr

roqarb

gJreKTpo[

rrraHne

ryru6lepou

MolKHo

roJr

bKo

rrocJre

noJrHono

3aBeprrrenur

pnOoru

cucreMbr,

r(orAa

nro6paxerue

Ha

MoHHTopax

o[epampa

H

Bpaqa

uo6nlrnofr

cncreurr

OPTISTM

nponaAeT,

I|

cBeToArroArilbre

[rHA

HKaTopbr cocTofl

Htrfl MoHnTopoB

lrsMeHrr

cnoft

qner

c

3eJreHoFo

na

xelrufi.

OrcoeAunenue

or

cerH

nepeMeHHoro

roKar

Ao

rroJrHoro

3aBep[reH[a

pa6oru

cIICTeMbr

MOXeT

IrpI|BeCTU

K

nOBpeXCAeHI|rO

CHCTeMbI.

IIPIIMETIAHI,IE.

flnr

eanepureHnx

pa6or6r

cucreMbr

nolrsyfirecr

rsonrcofi

<Shutdown>

(sanepmeuue

pa6mu),

pacnoJroxenHofi

s

nepxnefi

qacrn

3KpaHa.

He

peronaeuAyercff

noJrb3oBarb

cfl,

A:nfr,

3aBeprueH[r

pa6orsl

cr,rcreMbr

rnonroft

<On/Standby>

(nxnrouenr,relxgyqr,rfi

pexurra).

,{n.n

sanepuennr

pa6orbr

cr{creMbr:

l.

Haxuurc

KHorKy

Shutdown

(sanepurenue

pa6oru)

n nepxHefi

qacrr,r

eKpaHa.

Orxpoercr

MeHro

Shutdown

(sanepurenue

pa6oru)

cncreuu

(puc.2-4).

Pucynor

2-4. MeHro

<Shutdownu

(saneprueurae

pa6oru)

Haxunre

Yes

(4a),

qro6sr

3anycruTb nporleAypy

3aBeprrreHr{r

pa6orn

cncreMbr,

uma

No

(He'r)

4ax

npoAoJrxenur

pa6oru

c

cncreuofi.

B

cnyvae

nu6opa

Bapr,raHTa

Yes

(ga)

KoMnbrcTep

HarrHer

nporleAypy

3aBeprrreHr,rt

pa6orrr

cucreMbr.

9epes

l5

ceryn4

Ar{crrJrer,r

MoHr.rropoB

rroracHyr,

cBeroAr,roAHbre

HHAlIKarOpbr

cocmflHr,rfl

MoHr,rropoB

cMeHqr

csoft

qeer

c

3eJreHoro

ua

xelrrrfi,

u

cucreMa

uepeft4er

n

x4yrqnfi

pexuM.

flocne

roro

KaK

Ar.rcnJreu

MoHnropoB

noracHyr,

a

cBeroAuoAHbre

HHrr,rKaropsr

cocrotHl,Ir

MOHIITOpOB

CMeHflT

CSOfi

qnet

C

3eJreHOrO

ua

xelrufi,

orKJrIorIHTe

IIHTAHI,IE

CUCTEMbI OCHOBHbIM

BbIKJIIOqATEJIEM

NI,ITAHI,Ifl,

PACNOJIOXCHHbIM

Y

OCHOBAHI,I'

TEJIEXKH.

B

cnyuae Heo6xo4uuocrr,r

MoxHo

orcoeAr,rHnTb

rrrHyp

nvraHnfl

or

po3erKn

cerr,r

rrepeMeHHoro

ToKa.

2.

J.

4.

Abbott

Medical

Aprnryn

ARTRU60

00220

53

ffiabborr

Hacrpofina

crrcreMbr

Ifacrpofinr

sanncn

(DPK

HacrpoiKn

3annclt

OPK

[PuMErrAHlIE.

,{ocryn

K

norrnroMy

MeHro

FFR

settings

(uacrpofixu

sanrcr

OPK)

Bo3MoxeH

B

npoqecce

3aflucr4<DPK

npu

ycJroBr,rr,

r{ro

nu6paHo

noMerlleHr.re,

B

KoropoM

oHa

rrpoBoAr,rrcr.

l.

HaNuu're

KHo[Ky

Settings

(nacrpofi

rcu)

r

uepxue

fi

rracrn

srpaHa.

Orrpoercx

MeHro

F'F'R

Settings

(Hacrpofiru

sanucu

OPK).

llporepme

npaBr,rJrrHocrb

HaorpoeK

3anncu

@PK

4m

AaHHoro

narllreHTa.

Pressure

scale

(ruacrula6

gauenur)

-

MeHrer

uacnra6

oro6paNenzr

xpnnofi

AaBnelHvr'.

no

Beprr,rKalu.

flo

yMorrraHuro

ycraHoBJreH

Ar,rana3oH

0

-

200

MM

pr.

cr.

Sweep

Speed

(cnopocru

pa3Beprnu)

-

cropocrr

o6HosreHlr.f,

eKpaHa

r,r

ypoBeHb

Aeranr,Barluu

oro6paNaeMoro

Anr

nonBoBareJrr

r,rso6paxeHrar.

Eorsruoe

sHaqeHne

cKopocrl{

pa3BeprKr,r

cJre.uyer

ycraHaBJlr,rBarb

B

ToM

cJqrqae,

eclu'rpe6yercr

AerrlJrbHas

3anr4cb.

He6olruoe

3HaqeHr,re

cKopocrr,r

pa3BeprKpl

racnoJr*yer

cfl

Anfl

oro6paxeurzJr

MeAJreHHbrx

r,r3MeHeHufi

,

Hanpuuep

nppr

BHyrpr,rBeHnofi

un([ysvtur

vrrv

Bo3BparHoM

ABr{xeHr.ru

Aarqr,rKa

Karerepa

Anf,

Br43yurusawu.

flo

yuon

laHl,ilo

ycraHoBJreHo

3HaqeHr.re

Normal

(noprvra.nrnan).

Mean

Filter

Length

@ents)

(gluna

{ulbrpa

ycpeAHeHrfl

;

corcpaqeHnn)

-

I,I3MeHqeT

BpeMr,

3a

KoTopoe

Bbrql,IcirreTct

cpeAHee

3HaqeHI4e

AaBneHr,rrr.

PerynuponKa

BbrnoJrHre'rcr

nyreM nu6opa

AJrr,rHbr

$unrrpa

AJrr

BlrqrrcJreHn

r

cpeAHero

SHaqeHrrr,

KoTopar

n3MepreTcr

B

Konr4qecTBe

cepAeqHbrx

coKparrleHr.rfi.

flo

yMorrlraHr,rn

AnvHa

tfunrrpa

paBHa

3 cep4euuuru

coKparrleHr,rrM.

BHI,IMAHI,IE.

IIpu

nu6ope

do;rrruero

KoJr[qecrna

corcparqeHufi

cepAIIa

ycpeAHeHue

sHa.reHlrft

AaBJreHufl

BbrIIoJIHqeTcfl

MeAJIeHHee,

a

qyBcTBHTeJrbHOCTb

K

apleQarcraM

cHlrr(aercfl,

Ho

B

p$yJrbrare

Bo3MorKHo

ycpeAHeHlre

c

qp$Mepno

Hnsrcoft

rryBcTBHTeJIbHOCTbI0,

rrTO

3aMeTHO

npn

KopoTKoM

rrJraro

MaKcuMaJnnoft

runepeMurr.

IIpu

nu6ope

Merrbrrrero

KoJr[qecrBa

coKparqennft

cep4qa

ycpeAHeu[e

AaBJreHHfl

nporlcxoAHr

brrcrpee,

a

qyRcrBureJrbHocrb

r

noledanufl

M

AaBJreHlIfl

tronbrrrraercn;

TaKafl

nacrpoft

rca

peKoMenAyercfl

npH

KopoTKoM

rrJraTo

runepeMl|H,

HO OHa

TaKrKe

Molner

npuBecru

K

qpe3Mepnoft

uyocrBrrreJrbHocrn

ycpeAHeHuq

sHa.reHHft

K

HapyureHuqM

cep4errHoro

pHTMa

rr

nepenaAaM

AaBJreHHfl.

2.

Mo6umHaq

cucreMa

OPTISTM

ZHupyr<r1nfl

no

rrpr{MeHeHr,rn

Hlabbon

*

Hac'rpofirca

cucreMbr

Hacrpoftnr

sanrcr

(DPK

IIPI,IMEIIAHIIE.

Onpe4elenve

cpeAHero

3HaqeHr,rr

AaBneHnr

npu

HeAocrarorr

*toit

ulu

qpe3MepHofi

vyncreureJrbHocrr,r

MOXeT

npr,rB(lAr,rT6

K

HenpaBr,rnbHoMy

Bbrqr,rcJreHHro

3HaqeHr,rr

OPK.

klgNaenenus

3HaqeHr4r

rapaMerpa

Mean

Filter

Length

(q.lnna

Qulrrpa

ycpeAHeHur)

ne npranoArr

K

H3MeHeHr{ro

:ruaqenuft

OPK,

paccqr,rraHHbrx

paHee.

llpu

nu6ope

HoBoro

naqtreHra napaMerpy

Mean

Filter

Len

gth

(g.r

nna

Qu.n

srpa

ycpe.qneHnn)

rpucBar.rBaerct

3HarIeHLIe,

yCTaHOBJIeHHOe

nO

yMOIqaHI,[O

(3

cep4eunbrx

coKparqenna).

EIAbborr

Abbott

Medical

Apruryn

ARTRU6

0

00220

53

Hacrpoftrca

cncreMbl

Hacrpoftrca

MoHrrropoB

HacrpoiKa

MoHHropoB

MoHIatopu

c

nJlocKotraHenbHrlM.bxpaHoM,

nocraBJlteMble

c

orrcreMoft,

ocnarqeHsr

Bo3MoXHocTtMI4

peryJII'IpoBKH

flpKc,cTI'I,

KoHTpacTHocTI,I

I,I

ApyIuX

napaMeTpoB.

Yrol

uanloua

KilKAoro

MoHr{Topa

MoxHo

orperyJrnpoBarb.

Hacrpofi

xa

Synrqnfi

uonnropoe

Cuorpure

eKpaHnyrc

c[paBKy

MoHt;rropa.

Hacrpofi

xa

noroxeHltf,

MoHHTopa

Heo6xoAuuo

ycraHoBI,ITb

gKpaH

[JrocKonaHeJrlHoro

MoHr,rropa

rroA

TaKr,rM

yrJroM,

qro6u

ucKnIoqI,ITb

I,IJII,I

cBecrl{

K

MI,IHI,IMyT\4:y

Cnnrcu

or

oKpy}(arcqux

LrcrorlHr,rKoB

cBera.

[w,

noBbrrrreHr,rr

yAo6crra

npocMorpa:

Bosrl,rzrecb

pyKaMu

3a

Kpar

il,roHr4Topa.

Orperyrnpyftre yron

npocMorpa,

MeHqr

yroJr

HaKJroHa

MoHr.rropa.

l.

2.

Mo6umnaq

clrcreMa

OPTISrM

HucrpyrqrE

no

npr{MeHeHr4ro

ffiAbbot&,,

Hacrpofira

cucreMbr

Bu6op

rroMerrlenfifl

Bur6op

noMerqeHuf,

l{enrunre,

qro6sr

au6paru

noMeueHxe

l{enxnure,

qro6ur

BbtnonHrTb

oTMeHy

flpu

sanpoce

nu6opa

noMerrleHnr

orKpbrBaercff

oKHo

nn6opa

rroMeqeHr,rt

(crra.

pnc.

2-5).

Tarofi

3anpoc

Moxer

6nm

noAau

aBToMaruqecKr4

cr,rcreMofiunu

BpyqHyrc

noJlb3oBarereu.

flocre

3aBeprrreHnrr

nporleAypu nu6opa

noMerrleHr{rr

oKHo

3aKpblBaercr.

B

oxue

ru6opa

noMeuleHuq

ecrb

KHorrKn

nrr6opa

HacrpauBaeMbrx

nouerqeuuft.

Hnxe

o[HcaHbI

geftcrnur,

Koropbre

MoxHo

Bbr[oJrHr,rrb

B

gToM

oKHe.

l{enxnure,

qro6ur

au6paru

noMeueHxe

PucyHor

2-5.

Srpau

nn6opa

noMerrleHr.rt

Brr6op

[oMerrleHr,rr

ulerqKoM

no

ooorBercrnyroqefi

KHonKe.

flocle

nu6opa

IroMerrleHnfl

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A

Hatrarb HoByIo

3anl,Icb

oKT

lnq

sToro [aqueHTa,

TaJILI

HaxMr,rre

New

FFR

Recording

(nonafl

sanrircb

oPK),

qlo6u

coxpaHr,rrb

n3MeHeHHr

r.r

Haqarb

HOByTO

3anr.rcb

QPK

alr

sTofo

narlpreHTa,

HJrr,r

HaxMr{re

cancel

(orueHa),

qro6rr

3aKpLrrb

MeHro

6es

coxpanelr'lclfr,

14

BepHyrLcr

K

MeHro

select

Patient

(eu6op

naqueHra).

Haxunrc

Back

(nara4),

.no6u

BepHyrbcr

K

oKHy

rr,racrepa

Add

Patient

(4o6aueuue

naquenra).

4.

Mo6urusar

clrcreMa

OPTISTM

Hncrpyrqr.rfl

no

npnMeHeHr{ro

OrrcprrnaHrre

garrrrcn

naqrreHTa

Pe4arrnpoBaune

nH$opruaqllu

o

narIHeHTe

PegarrnpoBaHne

HH$opMaqult

o

naqneHre

HnQoprr,raqruo

o

naIIHeHTe

MoxHo

peAarcrr,rporlarb

r,r3

MeHro

Patient

Summary

(cno4nan

nHQopuaqnn

o

naquenre).

l.

B

ueuto

Select

Patient

(nrr6op

naquenra)

qerKHrre

coorBercrByroqero

na[ueHTa.

Otrpoetca

MeHIo

Patient

Summary

(cno4Han

uuQopnraqnf

o

rrarlueHre)

4nr

ororo naqreHra

(cu. pllc.

3-3).

2.

Haxunre

KHonr(y

Edit

Patient

(pe4arnnpoBarb

nn{opnraqurc

o

naqrenre).

orrpoercr

MeHro

Edit

Patient

(peqarclupoBague

uH0opuaquu

o

naqnenre)

(cu.

puc.

3-5).

Pncyuorc

3-5.

Menro

<Edit

Patienb

(pe4arrupoBaHue

r.rn$opuaquu

o

naqneure)

3.

Orpe4arrr,rpyfire

rlH<foprraarluro

o

naqueHTe

ueo6xoAllvruu

o6pasou.

IIPIIMEqAHI{E.

flpex4e

qeM

coxpaHurs

uH([opMarlurc

o narlueHre,

ueo6xoAurr,ro

BBecrh

3HaqeHnfl

no.nefi

Patient

ID

(n4enrnQuKarop

naqueHra),

First

name

(nrux)

n

Last

name

(Saunlun).

mr

fJ

Abbott

Abbott

Medical

Apruxyr

ARTRU60

0022053

Orrpunauue

garrncrr

narIHeHTa

PegarcrupoBanne

unsopruaq[n

o

narIHeHTe

4.

rrPr'IMEqAHTIE.

flpr.r

4o6aueHnr,r

raqueHra

B

KaqecrBe

Aarbr

poxAeHr.rfl

(Date

Of

Birth,

DOB)

repBoHarrarbHo

ycraHaBrrnBaercr

reKyrqu

Aar:a.

Eclu

9To

3HaqeHI,Ie

He

I,I3MeHLITI,

ctrcreMa

BblBener

coo6qeuue

DOB

is

Invalid

(ueqonycruMafl

Aara

poxgeu[n),

Ho

rro3BoJrr,rr

npoAoJrxnrr.

flpu

peAaKTr4poBaHrlu

AaHHbrx

o

naqueHTe

e

nore

DOB

oro6paxaercfl

BBeAeHHar

Aara

(npu

Hannvuu

4onycruuofi

4aru)

r,rJrr,r

rer(yuafl.piarta,

ecJrr,r

nprl

Ao6asreHur4

narlrreHTa

Aara

poxAeHr4r

He

6Hra

sseAeHa.

Haxnaure

KHonKy

oK,

uro6n

coxpaHr.rrr

rrcMeHeHr.rr,

unu

cancel

(orrueHa),

qro6u

3aKpbrrb

MeHro

6ee

co:rpaneHlarr

ra3MeHeHufi.

Mo6uruuar

cucreMa

OPTISTM

Hncrpyrcqr,rr

fl

o

rrpraMeHeHuro

ffiAbbott

Orrpunanrre

3anncu

narlueHTa

PeganrupoBaHue

nnQopnraquu

o6

HccneAoBaHrrn

Pe4amnpoBaHlte

nH$opMaqnn

o6

nccnegoBaHun

Idunnpaua

n

perl,IcrpaqnoHsuft

HoMep

Moxrro

peAaKrupoBarb

rrep$

MeHro

Patient

Summary

(cnognar

nH$oprvraqun

o

naqnenre).

1.

B

ueHrc

Select

Patient

(nrr6op

naqnenra)

uleJrKHnre

3arucb coorBercrByroqero

naul{eHTa.

Orrcpoercr

MeHro

Patient

Summary

(cno4Hae

nHQopruaqrfl

o

naqreu.re)

4m

coorBercrByroqero

naqneHra

(cu.

puc"

3-3).

Il{errHure

uccJreAoBaHue,

uro6rr

nn6parr

ero.

IIPIIMETIAHHE.

B

uo6ulrsoft

cuc,leMe

OPTISTM

AJrr

Bcex

ganuceft

n

crarr,rqecKr,rx

l.rso6paxeuutrt

c

oAsofi

Aaroft

yKa3brBaercr

oAr,rH

Bpaq

u

perlrcrpaqnonsuft

HoMep.

Haxunre

KHonKy

Edit

Case

(pe4arcrnpoBarb

nHQopruaqnn

o6 rccJreAoBanuu).

Orrpoercr

MeHro

Case

Information

(nnQopnraqus

o6

rccneAoBannn)

-

clr,t.

pr,rc.

3-6.

Pucyuor

3-6.

Menro

<Case

Information>

(uH([oprraaqus

o6 uccle4onauuu)

BHecnre

ueo6xoAllnabre

r{3MeHeHr.rr

B

roJlfi

Physician

name

(uua

npa.ra)

u

Accession

Number

(perucrpaqnoHHrrft

nonrep).

Haxuute

KHo[Ky

oK,

uro6sr

coxpaHr.r'rb

Lr3MeHeHHr

,

uttu

cancel

(or*rena),

qro6rr

3aKpbrrb

MeHro

6es

coxpaueHrr

Ll3MeHeunft.

2.

J.

4.

5.

frIabhon

Abbott

Medical

Aprrarcyn

ARTRU60

00220

5

3

Ornpunanue

gannclr

naqlreHTa

Ilnrnopr

6aru

gauubrx

naqneHmB

hunopr

6agH

AaHHbtx

naqreHToB

3anucn

OKT

u

OPK,

cAerraHubre paHee

B

cr{creMax

C7-XRrM,

ILUMIENTM

rn

ILUMIENTM

OPTISTM,

MoxHo

HMnoptupoBarb

B

raHHyro

cr{creMy

c

floMorrlbro

KHonKr,r

Import

(unnopt)

MeHIo

Select

Patient

(nrr6op

naquenra).

,{onoluureJrbH6re

cBeAeHItt

o6

urranopre

([afinon

[aqI{eHTa

I{JIr,r

cBeAeHufi

o

naquerrre

cM.

B

pasAene

<l4unopt

i[afinon

c

KoMnaKr-

unu

DVD-aucra

ru6o

USB-ycrpoficrso)

na

crp.

8-23.

Mo6unrHar

cucreMa

OPTISTM

I4ucrpyrqrnx

no

rpuMeHeHlrro

HIAb-non

*

OrrcprrnaHne

3anrrcn

rrau[eHTa

OrrcprrnaHne

coxpaHeHHbrx

sanncefi

rl

craruqecrux

uro6paxennfi

orrpuraaHt,te

coxpaHeHHbrx

3an[cer

]r

crart,tqecxnx

]Bo6paxeH[ft

Kaxaofi

saflncu

I,I

KaxAoMy

crarraqecKouy

nro6paxenurc

(cHurr,rry)

coornercrByer

or4elrunfi

oJreMeHT

MeHro

Patient

Summary

(cnoAHaa

unoopuaqnr

o

naqneHre).

Stor

greN{eHT

MeHro

coAepxI,IT

orMerKy

BpeMeHH

r,r

ocKr{3

uro6paxeuus.

B seu

raK)r(e

Moxer

orobpaxatbct

Ha3BaHI{e

cocyAa

(r

none

Vessel),

Ha3BaHHe

npoqeAypbr

(n

uone

Procedure)

u

rouueHtapuft

(n

none

Comment),

ecln

ouu

6ulpr

4o6aeleuu.

Ha

scruge

nsobpaNeHl{fl

coAepxarct

3HaqKH,

oro6paxa.rcque

cocrorHr.re

n

coAepxnMoe

r[afina:

E

.

3Ha.ror

(KaMepD)

yKa3brBaer

Ha

ro,

qro

gro

crarvtrecKr,rft

xa4p

ras

-

3anr{cr,r

OKT.

E

.

3naqon

<cefiQ>

yKatbrBaer

Ha

ro, uro

tbafin

6nl

apxunuponau.

fF

.

<AHruorpat[uuecxnfi

ecKr.r3)

yKa3brBaer

Ha

ro,

qro

3arracb

l-Ll

coBMerrleHa

c

BuAeo

peHTreHolpa$uu.

1.

flpocMorpa

coxpaHeHHoft

ganucu

uilrr

cruruqecKoro uso6paNeHnr

:

Orxpofirc

MeHro

Patient

Summary

(cno4uan

nn$opuaqun

o

naqneHre):

.

B

MeHro

Select

Patient

(nu6op

naqneHra)

nu6epure rarlneHra,

rrIeJrKHyB

ero

rlMfl;

.

B

oKHe

3anr,rcu

OKT

nnr.r

@PK Ha:xMHre

KHonKy

End

Review

(sanepuurr

npocuorp)

e

Hr.rxHefi

qacrr,r

oKpaHa.

orrpoercr

MeHro

Patient

summary

(croquan

nnsoprvraqHfl

o

rraqnenre)

4nr

coorBercrByroqero

rarlueHra (puc.

3-3

na

crp.

3-4).

Il{e"urcuure

oAHy

r,r3

Aar,

noKanaHHbrx

s

resofi

qacr}r

MeHro.

flpu

srou

6yayr

noKa3aHlr

Bce

3anr.rcu

Lr

crarrfrecrne

uso6pa]KeHr,rr,

BbrnoJrHeHHbre

B

yKa3aHHyn

AaTy AJrr

cooTBeTcTByroqero

naqueHTa.

I^ls

2.

3-12

ffil

Ahbott

Aprr,rryn^..ff3:tJ[;l;?i

Orrpunanne

3arrucrl

naq[eHTa

orrcpunaHrre

coxpaHeHHbrx

sannceft

lr

craruqecrcux

Hco6paxeHnfi

3.

Haxuure

KHorrKy

Review

(npocuorperr),

pacnoloxeHHyro

ilo.q

3anHcbro,

KOTOpyrc

Bbr

xoTr.rTe

oTKpBrTb.

Pucyuox

3-7.BulsailHcu

B

MeHro

<Patient

Summary>

(cno4uar

rnn(popnaaqua

o

uaqneurc)

3auucr

LrJrLr

crarr{qecKoe

usobpaxeuue

orKpoercs.

3anncu

Bocnpor,r3BoArrct

ABTOMATHqECK}I.

Mo6uruHas

cucreMa

OPTISTM

Hucrpyrqrlr

rro

npnMeueHr.rp

ffi,&hbo&t

OrrcprrnaHne

3arlrtcll

naq[enTa

Oncpunan[e

coxpaHeHHbrx

sanrlceft

rr

crarrrqecnnx

nro6paxeHnfi

4.

Pracynorc

3-8.

Orno

npocrraorpa

OKT

.

CseAeHHr

o

rrepeMerrleHrln

no

sailvcu

OKT

crr,r.

B

pa3AeJre

<<3leueHrur

yrpaBneHrar

Bocrporr3BeAeHr,reM)

Ha

crp.

6-7;

uur[opMarlruo

o

flepeMerrleHur,r

no

sar]vcu

OPK

cu.

B

pa3Aene

<l4ryueHue

3ailucr4

@PK>

na

crp.

4-l

l.

.

HumpyKqHH

no

Ao6aueuuro

usruepeHufi

r,r

norcHeHr.rfi

x

sanucu

OKT

nnu

crarnqecKoMy

KaApy

cM.

B

rnaBe

7

<l4ruepeHnfl

v

ilofl,cHeHur)).

.

Cnegeuur

o6

gKcnopre

sanvctr

OKT

qelnroM

r.rJrr{

orAeJrbHhrx

ee KaApoB

cM.

B

fJraBe

8

<3xcnopr,

raMrropr

$afilon

u

ynpaBneHue

(fafinarvru>.

.{m

sanepureHr,rfl

npocMorpa

sarrucr,r

r,r

Bo3Bpara

K

MeHro

Patient

Summary

(cno4uar

nnQopnraqrrr

o

naqreHre)

uaxuure

KHonr(y

End Review

(sanepunrr

npocuorp).

El"abbon

Abbott

Medical

Apruryn

ARTRU60

00220

53

BunonHeHlte

npoqeflypH

OPK

4

Kparxan

um$opu

aquf,

flpoqerypa

@PK

rpe6yet

yqacrur

AByx

oreparopoB,

oAHoro

crepuJrbHoro

H

o.qHoro

Hecrepl,InbHoro.

Bce

aefircrr,ut,

rpe6yroque

KoHTaKTa

c npoBoAHurou

PressureWirerM,

AoJIXHrI

BbInoJIHflTrct

crepLIJIbHbrM

oneparopoM.

Bce

Aefi

cru,rfl

,

noApa3yMeBaroque

HerlocpeAcrBensufi

KoHTaKT

c

nao6umsofi

cucreuofi

OPTISTM,

AoJrxeH

BbrnoJrgrrb

HecrepnJrbHuft

oneparop.

KouSnrypaqut

rlrfloBofi

na6oparopr,ru

Karereprrcarlr.rn

AJrr

HccJreAoeaHr.rfi

OPK

noKasaHa

Huxe

(6oxonofi

nylm

ynpaBJreHur

ue

nonasau).

PucyHorc

4-1.

Jla6oparopnfl

Karerepr,r3arlr{H

c

o6opy4oeaHr.reM

AJrr

nponegeHnr

(DPK

Heo6xogrMbte

Marep[anbt

n

o6opygoBaH]te

.

Mo6ur$Hafl,

cncreMa

OPTJSTTI!.

.

,{aruur

PressureWirerM.

'

Blox

Wi-BoxrM,

ycraHaBJll,IBaercfl.

Bo

Bcex

noMerrleHprrx,

B

Koropbrx

6y4er

[poHcxoAHTE

I,I3MepeHue

(DPK

c

floMorrlbro

uo6nlrsofi

cucreMbr

OPTISTM.

'

lenapl{Hu3l{poBassufi

Quruo"noru.recxnft

pacrBop

AJrr

noAroroBKn

KaTerepa

c

rr,r4porf

unrHbrM

noKpbrrueM.

Pressurewire

@

0

tr

-F

=F

rl

J-_L

ffi\__/m

OPTIS

Mo6uruuas

cucreMa

OPTISTM

Hnmpyrqr,rr

ro

npr.rMeHeHr,rro

rtErffiEh

ry,$

^&Eebo&t

Brrno;rneHrre

rpoqeqypu

(DPK

Hacrpofirca

uo6ulrnofi

cucrenu

OPTISTM

Hacrpofi

Ka

Mo6hnbHofi

cltcreMH

OPTIS

rM

l.

Pacnoloxnte

cl{creMy

AJII

I{c[oJrb3oBaHHr.

Cnr.

par4el

<<Pasuenleu[e

cncreMbr>

Ha

mp.

2-1.

2,

Buro.rr,rre

cr{creMy.

Crvr.

pas4el

<<BxrIrcqeurEe

rrr,rraHr,rr))

uacrp.2-6.

frIabbott

Abbott

Medical

Apru

nyr

ARTRU6

0

00220

53

Bunolneuue

npoqeAyprr

OpK

Hacrpofirca

6;rona

Wi-BoxrM

AJrr

trrcronb3oBaHrr

c

*ro6ulrHofi

q.rcreuoft

OpTISTM

HacrpofiKa

6noKa

wi-Boxru

AnR

]rcnonb3oBaHlrr

c

Mo6hnbHor

c[creMor

oPTlsrM

Blox

Wi-BoxrM

npu

ycraHoBKe

AoJIXeH

6utr

noArcrrcqeH

K

reMoAlrHaMu.recxoft

cHcreMe

perlrcrparlHrr

yqpexAeHHs.

BrrnorHHTe

cJreAyroulne

4eficrnur,

.rro6u

nepnufi

pa3

noAKJrnqurr

uo6unruyro

ctrcreMy

OPTISTtU

r

6nory

Wi-BoxrM.

1.

Ha

expaHe

notBuTct

rnaBHoe

oKHo

c HHcrpyKrlnefi:

Set

AO

transducer

height

to

heart

level,

then

open

AO

transducer

to

ain

Click

Zero

Pa.

(Vcmauoeume

sbrcomy

d

amqurca

sHympuaopm

cubHo

a:o

d

aen

euun

Ha

ypo

sHe

cepdqa,

s

ameM

omrcpoilme

damrtux.

Hacrcuume

KHorug)

Ziero

Pa

(oduynuma

pa)).

Pucyuorc

4-2.

Coo6rqeHne

c

yKa3aHueM

ycraHoBr.rrb

Bbrcory

Aarqr,rKa

BHyTpr.raopTaJrbHoro

AaBneHr,rr

lr

oTKpbrTb

AaTrrlrK

2.

Pacnoloxure

AarqLIK

BHyrpr.rropraJrbHoro

AaBneHusraKnM

o6pasou,

qro6rr

on

HaxoAr{Jrc.rr

Ha

ypoBHe

cepArla

naqueHTa.

TTPI,IMEqAHI,IE.

Ha

npouxeHun

scefi

nporleAypbr

AarrrnK

BHyrpr,raopraJrbHoro

AaBJreHr,rr

AoJrxeH

HaxoAr,rTbcr

Ha

ypoBHe

cepArla

naqneHTa.

3.

OrrpofireAarqr.rKBHyrpr{aopraJrbHoro

AaBrreHvfl,.

Mo6alruar

cr{creMa

OPTISTM

HHmpyrqur

no

npnMeHeHnro

^&bbefr&

Brrno.rrHerue

npoqeAypu

(DPK

Hacrpofirca

6.lorca

Wi-BoxrM

[Jrfl

Hcnonb3oBanilfl

c

*ro6u;rrnofi

cucreuofi

OPTISTM

4.

B orue

u3MepeHr{fl

Pa

saxuure

KHour(y

Zero

(uo.nr)

uru

na

6orosor\a

rryJrETe

yrrparBJreHr,rr

croJra

HaxM

r.rre

KHonKy

Pr.oximal

Marker

(nporcn

nralrHu

fi

uapxep).

Pncyuor

4-3.

Coo6rqeHue

c

yKataHr.reM

npoMbrrb

[poBoAHnK PressureWirerM

3arpoftre

AarrrHK

Buyrpr,raopraJrbHoro

AaBJreHr,rr.

floArorosrre

npoBoAHr{K

Pressurewirel'M

B

coorBercrBr{r{

c

AorcyMeHToM

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no

npuJt

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npoeoduurca

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n

uHcrpyKrlurMr,r,

nofl

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Ha

9KpaHe.

BHI,IMAHIIE.

He

ncno.nmyftre

npoBoAHrrK

PressureWirerM

s

cnyqae

obuapyxennfl

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npnsHaKoB

noBpexAeuufl.

B

oxue

H3MepeHnr

Pd

uaxnaure

KHonKy

connect

(nogrc.nro.rurrcn)

vrrvHa

6oxonou

nyJrbre

ylpaBJreHar

HaxMr.rre

KHonKy

Proximal

Marker

(upolccnua.nrnrrft

nrapnep).

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Y

eac

6y4er

60

ceryHg

Ha

roAKrroqeHue

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rc

ctrcreMe.

flpr,r

neo6xo4r.rMocrr,r

HaxMr,rre

KHo[Ky

Connect

(nognlrc.rurr)

enle

pir

no

ucreqeHr.ru

60-cercyn4noro

ranuayra.

5.

6.

7.

Elabbon

Abbott

Medical

Aprraryr

ARTRU60

0022053

Brrno;rHeuue

nporleAyprr

OpK

Hactpofirca

6llorca

Wi-BoxrM

AJrfl

lrcrroJrb3oBaHnfl

c

uo6ulrrnoft

cucreuofi

OpTISTM

8.

Teneps

cncreMa

BbInoJIHfler

rror{cx

npoBoAHr{Ka

PressureWirerM.

B

nole

H3MepeHr{fl

Pd

mo6paxaercs

coo6uleuue

:

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arching

(noucrc)

.

Pucyuon

4-4.

Coo6rqeHlne

c

yKa3aHI{eM

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PressureWirerM

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He

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oAHoro

npoBo4nnKa

PressureWirerM,

KorAa

crrcreMa

BH

norHfl

er

noncrc/noA

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rre.

Buroqure

Aarr{HK

PressureWirerM.

Bo

npeua

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coeAr,rHeur,rfl,

AarurKaPressureWirerM

u

cr,rcreMEr

B

noJre

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Pd

oro6paxaEtcfl.

coo6uleuue

<connecting>

(nogxrrcueHue).

Korya

coeAr.rHeHr,re

6y4er

ycraHoBJreHo,

e

rpaQuuecrofi

o6racru

AucnJrer

norBr4Tcr

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Pd

(senenoro

qnera).

IIPI,IMET{AHI{E.

Eclu

cucreMa

He

uafiAer

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PressureWirerM

B

TeqeHue

o4uofi

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B

none

r,r3MepeHr.rr

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cnosa

norBr.rrcfl

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No

Sensor

(uem

damvuxa).

BHuro.rure

[poBoAHr,rK

PressureWirerM

u

EepHHTecb

K

IUary

7.

Hgsrercr4re

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PressureWirerM

r.r3

rrJracruKoBor-o

Koxyxa.

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PressureWirerM

B

cocyAncroe

pycJro

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B

coorBercrBtrr.r

c

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eod

c

m6o

no

npuMeHe

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npo

eoduuxa

PressureWirerM.

9.

10.

ll.

Mo6nlrHafl

cvcreMa

OPTISTM

I4ncrpyxqr,rr

no

[pr,rMeHeHr{ro

ffiAssbof,t

Brrnolnenne

npoqeAyprr

(DPK

lfactpofrra

6.lorca

Wi-BoxrMAJrfl

ncnoJrb3oBannfi

c

rvro6n.trnoft

cucrenrofi

OPTISTM

12.

Tenepr

neo6xoAuuo

BbrpaBHrrb

AaBJreHr,re

Br{yrpr,raopraJrbHoro

AarquKa

r.l

rrpoBoAHr{Ka

PressureWirerM.

Pucynor

4-5.

coo6qeHue

c

yKa3aHr,reM

npoABunyrb

npoBoAHr.m

PressurewirerM

n

B6IpOBHTTE

AaBIIeHHe

BHI,IMAH[IE.

B

c.ry.rae

BbrKJrroqeHufl

npoBoAHura

PressureWirerM

nln

oTKJIIOqeH[fl

SJIeKTpOn[TaHUf

trOCIe

BbIpaBHItBaHUfl

AaBJreHufl

neo6xoAlluo

figBrerrb

ero

Hg

reJra narIHeHTa

rl

noBTopno

o6Hy.nnnr

B

nJracrMaccoBoM

Koxyxe

B

renap[Hrr3[poBaHHoM

Quruo.noruqecKoM

pacrBope,

npe?rcAe

qeM

npoAoJrxarb

nporleAypy.

r{.na

no.nyueHnn

.qonoJr

HtrreJnuofi

rnHQopMarlrrn

no

rroncr(y

H

ycrpaHeHrrro

HenoJr

aAoK

npoBolln[Ka

P

ressu

reWirerM

cM.

\t

xo

e

o

d

c

me

o

no

npuMeHeHun

npoeoduuxa

Press

ureWir{M.

Abbott

Medical

Aprnxyn

ARTRU60

0022053

Ahbott

BHNMAHI,IE.

Mo6nlrsas

cncreMa

OPTISTM

Hncrpyrqua

no

[p]rMeHeHr{ro

Hacrpofirca

6.noxa

Wi-BoxrM

4ln

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npoqeAyprr

{DPK

rrcrroJrb3oBanrrfl

c

uo6u.nrnoft

cucreuofr

OPTISTM

13.

flporeprte

oto6paxaeMble

3HarreHr,rr

AaBneHr,rff

B

rroJrflx

r.r3MepeHr.rr

Pa

u

pd

(cu.

prac.

4'5

ua

crp.

4-6).

Ecru

Aasrenr.rr

He

paBHbr,

HaxMr{Te

KHo[Ky

Equalize

(nuponnnru),

ultt

ua

6oronou

[yJlbre

ynpaBJreHr.rr

croJra

HaxMr4Te

KHo[Ky

Proximal

Marker

(nporcu

uta.r

rnrrft

ruaprcep),

qro6H

BbrpoBHfl

rb

noKaraHr,rt

AABJIEHI,I'

BHYTPITAOPTAJIbHOTO

AATIIHKA

H

IPOBOAHI,ITA

PTESSUTEWiTETM.

Beruquna

KoppeKrlr,ru

BhrpaBlrr{Banaa

oro6paxaercfl

B

noJre

H3MepeHr,rfl

<Equalization> (aupanuuranue).

Koppexqur

rpuMeHrercr

K

AaBJreHurc

Pd,

qro6H

oHo coorBercrBoBaJro

3HarreHr,uo

AaBJreHr{f

Pa.

BHI,IMAHTIE.

Ec.nn

Be,[nqrrHa

Koppenrlun

6o.trure

u.nu

paBHa

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MeHbrrre

n.nu

panHa

-30,

cucreMa

oro6paru'r

3HaqoK

npeAyrrpGrr(AeHHf

B

nore

rr3MepeH[fl

<<Equalization>

(nrrpanuunaHne).

Ec.nn

crcreMa

omdpaxlaer

AaHHufi

sHaqoK

npeAynpexAeHHfl,

nonpo6yfire

Anr

yMeHblueHlrfl

3HaqeHnfl

BbrpaBHrrBaHnfl

(EQ)

nuno.lnrrrb

cneAyroqee:

y6e4nrecs,

qro

Aarqnr(

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buoro

AaBneHHr

pacflonoxeH

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ypoBHe

cepAqa

narIHeHTa,

rr noBTopHTe

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He

ucrre3aeB

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PressureWiirerM

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reJra

[aq[eHTa

rl

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ero

B

nJracrMaccosoft

o6o.noqrce

B

Fenap[Hrr3HpoBaHHoM

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pacrBope.

rlro6u

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ur*repeuuft

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c noMorrlbro

npoBoAHrrKoBoro

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qTo

npuBoArrT

K

HeBepHoMy

pacqery

OPK

(Pd/Pa),

Heo6xo4nuo

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cJreAyrorqrre

Aeft

crsuc

:

.

yAaluTe

ocTaTK[

KoHTpaCTHOTO

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n3

npoBoAHrrKoBoro

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nyTeM

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renapuHngoBaHHbrM

QuruoloruqecKuM

pacrBopoM

;

.

BbrTfHHTe

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Ha3aA

n3

reMocTaT[qecKoro

KIIATIAHA;

.

Bo

BpeMfl

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reMocraruqecruft

Kranan

AoJrxeH

6urrr

3aKpbrr.

IIPTIMETTAHIIE.

Berprqr4Ha

Kopperqun

(EQ)

c6pacunaercr

npn

o6HyreHnu

sHa.{eHr.rii

Pa

utu

Pd,

a

rarxe

npn

[epe3arrycKe

npoBoAHnr(a

PressureWirerM

(nxlro'reHrru

nocJre

nuurcueuur).

s

'itl.

^&bbott

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Sanucr

(DPK

Sanrcu

OPK

l.

flponeprre

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Hacrpoex

OPK

Anr

reKyrqefi

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.{onolunreJrbHbre

cBeAeHr,rr

cM.

B

pa3Aele

<Hacrpoitrcu

sanucu

OPK)

ua

crp.2-9.

IIPI,IMETIAHI,IE.

flo

yuoluaHr{ro

eqpaH

npeABapr{relrsofi

sanncu

(puc.

4-6)

ycraHoBrreH

ua

FFR

Recording

(sanncr

OPK).

3Ty

ycraHoBr(y

MoxHo

H3MeHnrb

sa

PdlPa

Recording

(ranucs

Pd/Pa)

vlr.unaFFlt

u

Pd/Pa

(OPK

u

Pd/Pa).

SraycraHonra

noMeqaeT

3anl,Icb

tx

ycTaHaBJInBaeT

BI'A

nO

yMOnrraHI,Irc

npH

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ycraHoBrcy

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raKxe

noMeHrrb

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eKpaHe

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@PK

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na

crp.

4-l

1).

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npoBoAHHK

PressurewirerM

g

pa6ovee

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u

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uuxnefi

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6y4er

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pdlpau

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Pd/Pa.

Prlcyuor

4-6.

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runepeMr.rrc

B

coorBercrBun

co

craHAaprHbrMu

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4.

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KHonI(y

Record

(ranncr) (ntu

ua 6orosorr{

nyJrbre

yrrpaBJreHnt

HaxMr,rre

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al

Ma

rker

(n porccn

ual

rn u

fi

rvraprep)).

2.

J.

Abbott

Abbott

Medical

Aprunyn

ARTRU60

00220

53

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npoueAyprr

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3anucr

OPK

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rr,rep

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fi

qacru

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Ha

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nyJrbre

y[paBJreHr{r

HaxMr,rre

KHorrKy

Distal

Marker

(,qncramHrrft

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rarofi-ro

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Ha

3anr,rcpr

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npocMorpa

B

AaJlbHefirueu.

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notBJrflerc.fl

B

BuAe

BeprnKaJrbHofi

6enofi

Ilt[HUU

Ha

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PucyHox

4-7.3anucr

5.

3anacunafiTe

AaBJIeHI4e,

noKa

He

6yler

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cra6nlsuoe

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runepeM

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flocle

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stop

(cron)

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6orosor\,r

nyJrbre

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HaxMlrre

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roxim

al

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(n

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ft

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epeur

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Distal

Marker

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rvraprcep).

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Orxffo.Iute

npoBoAHuK

PressureWirerM,

rrocre

roro

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oH

craHer

He

HyxeH

v

Ao

yTprrfir3arlHH.

Mo6ulrsar

cucreMa

OPTISTM

HHcrpyrqnq

no

npuMeHeHnro

Ilunonnenue

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OPK

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BHTIMAHI{E'.

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nporleAyprr

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c

upoBoAHnKoM

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ressu

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rerM

n

ocra,l

bHbI MH oAHopagoB

brMrr

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npuMeHflJrncb

nprr

BbrnoJrHeHnn

qaHnofi

nporleAypbr,

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c Bo3MoxHbIM

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coorBercrBnn

c

ycrauoBneHnbrMrr

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,

a

raKrme

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nprrMennMbrx

3aKoHoB

H

HopMar[BHbrx

aKToB.

EIAbbon

Abbott

Medical

Apruryr

ARTRU60

00220

53

BurnolneHue

nporleAypu

OIPK

Ilry.reHne

sanncu

OIPK

Hsyveune

3anltcr

OPK

flpu

orxpuuaHnvl3aflvcu

OPK

oro6paxaercr

Bcfl

3arprcr.

flo

yuoruaHr.rrc

rpg

orKpbIBaHI'IV

sAnUCpr

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pacno.rrafaercfl

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ToqKe

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orHoureHur

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ro.rrry

Op'K

rr3-3a

apreoarron

AaBJreHnfl,

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rr3-3a

aHoMaJrbHbrx

conparrleuufi

cepAqa

HJrrr

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bnoro

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(pa)

n

pe3yn

brare

npoMbrBKxt

npoBoAHHKoBono

Karerepa

rrJrn

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(sarpunaHun)

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rITo

roqKa,

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cucreuofi,

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pacqera

@pK.

BHI{MAHI'IE.

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c.nyvae

yBeflrqeHufl

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3arrcr

qacrr

rpunofi

He

o'ro6paxarorcn

(ranucu

BbrxoAHT

3a

npeAenbr

erpaHa).

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AOJTXeH

BCerAiA

u3yqHTB

noJrHyro,

He

yBeJrrrqeHHyrc

3arrrrcb,

rrpexAe.reu

nu6parb

rorrKy

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pacqera

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Ta6nraqa

4-1.

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ol?K

(nu6pano

<FFR

and

pd/pu

(opK

u

pd/pa))

ABGDE

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cr{creMa

OPTISTM

I,Incrpyrqur

no

rrpHMeHeHVro

rc

roA&bc66

IfsrnomreHne

npoqeAypu

@PK

lky.reHue

ganncn

(DPK

A

Ilus

u

u4eurn$uraquonurrft

HoMep

[aqrreHra.

,{ononnnterbHble

cBeAeHur cM.

B

pa3AeJre

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o

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Ha

crp.

3-6.

[arau

BpeMf,

3anucu.

Kuonxa

Print

lile

to

USB

(neuarr

Safi.na

na USB)

-

AocryrrHa

rpu

roAKnroqeHHoM

USB-uarconurele.

Haxunre

Anfl

rreqaru

$aianasanr{cu

@PK

sa

USB-sarconurelr.

Knonra

Export

(sxcnopr)

-

HaxMHre

Ha

9ry

KHorrty,

qto6u

orKprrrb

oxno

Export

Wizard

(uacrep

encnopra).

,{onorHurerbnbre

cBeAeHHr cM.

B

DraBe

8

<3rccnop1

HM[opr

$afilon

l,t

y[paBneHue

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Kuonrca

Settings

(nacrpoftrcn)

-

uaxunre, uto6u

orKpbrrE

nresrc

<FFR

Settings>

(uacrpofinu

3anncu

OPK).

,{onolHurerlHhre

cBeAeHufl

cv'

B

pa3AeJre

<Flacrpofircn

3anucn

OPK))

ua crp.2-9.

Bn6epnte

<FFR

and

Pd/Pu

(OPK

u Pd/Pa), <FFR

Recording>

(sanucr

OPK)

nnu

<Pd/Pa

Recording>

(sanucr

Pd/Pa).

Cru.

pr.rc.

4-8 u

puc.

4-9

sa crp.

4-14.

flore

co

3HarreHr{eM

Pa/Pd.

Oro6paxaercr

cpeAHee

3HaqeHHe

Pa

(euyrpr,laopraJrbHoe

ganneHue)

B

rotrKe

pacnonoxeHr,rf,

Kypcopa.

Oro6paxaercr

cpeAnee

gHa.{eHue

Pd

(Ancraruroe

KopoHapHoe

4anleHne)

B

rorrKe

pac[oJroxeHr.rr

Eypcopa.

Knoura

Restore

FFR

(noccrauoBRTb

OPK)

-

rocJre repeMerrleHr{r

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OPK so

BpeMt

llpocMorpa

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KHorrKy

Restore

X'FR

(noccrarroBf,Tr,

OPK),

qro6u

BepHyrb

ero

ro

noJroxeHr{e,

B

KoropoM

os

6rrl

npn

orKpbrBaHnvrgurvrcrl.

IPI,IMETIAHHE.

flocne

3aBeprxeHr.rr

npocMorpa

OPK

naaprep

coxpaHrercr

B

nocne4nefi

ToqKe,

n

noropoft

oH

Ha

oror

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ro

KHorrKa

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6y4er

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rex

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nepeMerrleH.

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unu

Pd/Pa

s

noJro)r(eHur{

r(ypoopa

(nucneuuuaercr

arr6paHHoe

3Haqenr{e

rypcopa).

End

Review

(ranepurnrr

npocuorp)

/

New Recording

(nonan

ranucr)

-

HaxMr{re

KHonr(y

End Review

(ranepuruG

npocuorp),

qro6u

3aKpErrE

ero

oKHo

H

BepHyrbcr

K

rr,resrc

Patient

Summary

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nuQopnraqnr

o

naqnenre).

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flona

cl{creMa

noAKrrroq€rHa K

rpoBoAHr{Ky

PressureMrerM,

n

sroft

qacru

oKpaHa

oro6paxaercr

KHonKa

Record

(canncr).

Haxunre

KHonKy

New

Recording

(nonax

ranucr),

qto6u

3aKpbrrb

ero

oKHo

npocMorpa

H

Haqarb HoByro

gauucr

OPK.

BHIIMAHHE.

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ranpurrrrr

3anrcr

rercyqee

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coxpaneHrroM

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f,ilI

Abbott

Medical

ffi

AbbOtt

Apr'rrcv'rrARrRu6000220s3

B

c

D

E

H

G

4.-12

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npoqeAypu

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3anrcn

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K

Zoom

in

(ynelnunrs)/Zoom

out

(yueururnrr)

-

uacrura6

3anlrcr{

c rleHrpoM

B

roqKe

pacnonoxeHr{r

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cnucorc

Procedure

(npoqe4ypa)

--

rqenxurare,

uro6u

pa3BepHyrb

pacrpunaroquftcr

cnr{coK

[porleAyp

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BoJroKHo,

HaxoAfl

lrleecq

B

HyTpIr

KaTeTepa.

Cnpy.runaHlre

H

nepenn6arure

Karerepa

Molner

rrpuBecrrr

K

ero

noBpelr(AeHr{rc.

IIpn

noqrc.rrrcrreHllrr

neo6xo4uuo,

qro6u

rrpoKclrMaJnHufi

cerMeHT

Karerepa

6ua

npxurrlr

n

6ur

coBMeueH

c nyJrbroM

DOC.

Huxorga

ne

nrrraftrecb

noAKJrroqrrrb

HJrrr

BKJrroqHTb

KaTeTep,

rroKa

oH

ocTaeTcfl

cBepHyTbrM

B

nJracTrrKoBoM

KOJrbrle.

2.

3.

4.

5.

ffiAhibott

Abbott

Medical

Aprnryn

ARTRU600

0220

53

BunomreHfie

HccJrelonasns

OKT

Ilogromnna

K

noryqeHnn 3anrcefi

OKT

flo4roroBxa

K

nonyqeHnxl

3anilcef

OKT

Honue

sarfi4cr4

OKT sanycKalorct

l,ts

MeHIo

Patient

Summary

(cno4nan

r.ur{opnraqnn

o

naqueure).

l.

flprn

neo6xo4r.rMocru

BBeAr{Te

cBeAeHur

o

naqr{eHTe.

Cna.

pas4er

<BsoA

rau(foprraaqun

o

HoBoM

naqueure)

na

crp.

3-6.

IIPIIMEqAHIE.

Ilpex4e

qeM

HarII{Harb

3anr{cL,

BBeAr,rre

B

cncreMy

cBeAeHnt

o

narluerre

n nrr6epute

ux

AJrr

ncnoJrb3oBanr.rr.

B clyuae

pen{crpaqnu

naqreHra

qepe3

MeHro

Add

New

Patient

(go6anurr

HoBoro

naquenra)

HaxMHre

KHonrcy

New

OCT

Recording

(nonan

sarrrrcb

OKT),

Koropafl

pacnonoxeHa

B

Hr'rxHeft

qacru

ruara

2

uacrepa

Add

New

Patient

(godanurr

HoBono

naqnenra),

u

nepefi4ure

r

BbrnoJrHenr,rro

lllara

4,

npnee4eHHoro

Huxe.

2.

B uesrc

Select

Patient

(nu6op

naqueura)

uleJrKHr,rre

coorBercrByrouero

naulleHTa.

Orrpoercr

MeHro

Patient

Summary

(cno4nan

unQoprvraqufl

o

naqnenre)

gnr

coorBercrByroqeno

naqueHra

(puc.

3-3

na

crp.

3-4).

B uesrc Patient

Summary

(cnoguaa

un$opmaqrrfl

o

naqueHre) Haxuure

KHonr(y

New

OCT

Recording

(Honaa

3anncb

OKT).

IIPIIMETIAHIIE.

llpu

ueo6xo4r.rMocrr.r

BBeAr.rre

AaHHbre

B

norrr

Physician

name

(urvra

npava)

n

Accession

number

(perucrpaquonnufr

norvrep)

AJrf,

ororo

rrccJreAoBaHur

r,r

saxuure

OK.

Ecru

napauerpy

Flush

Medium

(neqecrno

AJrr

npombrnrcu)

4nr

npeAbrAyrqero

[aqneHTa

6rrro

npncBoeHo

nro6oe

Apyme

3HarreHr,re,

KpoMe

Contrast

(noHrpacrHoe

Berqecrno),

ro

uampoft

ru

KonTpacrHoro

BerqecrBa seo6xoAlrrrro

noATBepAr,rTb.

Cucrenaa

ro[pocr,rr

noATBepAmrbvrlrr4

nrrbpars

apyrofi

pacrBop

AJrr

npoMbrBanvra)

nocJre

qero

Haxarb

KHorKy

OK,

uro6u

3aKpbrrb

rpeAynpexAesue.

Ecru

3HaqeHHe

rapaMerpa

<Flush

Medium>

(neqectno

AJrr

rpoMbrnru)

nyxno

I{3MeHnrb,

cra.

<lloAreepx(AeHue

napaMerpoB 3anncu)) ua

crp.

5-14.

Mo6uruuas

clrcreMa

OPTISTM

I4ncrpyrqur

no

upr{MeHeHr.rp

ffiabhqe&&

a

J.

4.

:dtuthlJa*4.sd.l

If

rrnorHeHne

[ccJreAonaHns

OKT

llogromnra

K

noJryqeHuro

sanrlcefi

OKT

5.

Ha

snpaue

notBt4Tct

coo6rqeuue

c

yK&taHueu:

Purge catheter

with

contrast

(npouoitme

Kamemep

KoHmpqcmHuw

set4ecmeou)

(puc.

5

-2).

Pucynox

5-2. Coo6rqeHlre

c

yKa3aHr,reM

flpoMbrrb Karerep

IIPIIMEIIAHIIE.

lto6u

ero

coo6rqeHlre

c

yra3aHr.reM

He

BbrBoAnrrocr,

ueo6xo4uuo

ycraHoBlrrb

Qlaxor,

pacnonoxeHuufi

Bo3Jre

HaAnr{cl,t:

Do

not

show

tltis

screen

again

(6onoute

He

noKosbtnomb

smo oxuo).

6.

flporr,rofire

npocBer

Karerepa

I^rfl

Busyurvsa\va DragonflyrM

100-upoqeHrHbrM

KoHTpacrHbIM

BeIrIecrBoM

c [oMorrlbro

unpuqa

o6reuou

3

ul,

uro6rr

yAaJrlrrb

Becb

Bo3Ayx

n3

Karerepa.

flporurrnafire

rax,

qro6u

3

-

5

rane"nb

BbrAeJrr,rJrlrcb

r.r3

Ar{craJrrHoro

orBepcrr,rr

Karerepa.

He

orcoe4uHsfire tunpurl

or

npoMbrBHoro

nopTa

KaTeTepa

nocJre

BBeAeHr,H

KOHTpACTHOTO

BerrIeCTBa.

BHI{MAHI{8.

Karerep

AonrKeH

6rrrr

garroJrHeu

Ao

noAKflrcqeHHfl

K

nyrrbry

DOC.

trIabbost

Abbott

Medical

Aprr,rrcyn

ARTRU60

0022053

BunolHenne

[ccJreAoBag[s

OKT

[o4roronrca

K rroJryqeHHro

3afllrcefi

OKT

7.

flocle

BBeAeHufl

1

OO-npoqeurHoro

KoHTpacrHoro

BerrlecrBa

HaxMr,rre

KHorrKy

Next

(garee).

Ha

erpaue florBr{Tcr

coo6qenue

c

yKa3aHueu:

Connect

catheter

to

the

DOC

(nodxnnvume

Kamemep

K

nynbmy

DOC)

(crrl.

puc.

5-3).

Pucynor

5-3.

Coo6qeHr,re c

yKa3aHr.reM

noAcoe.qr,rHr{Tb

Karerep

r

nynrry

DOC

L

Bctasrre

pa3beM

Karerepa

B

ropr

r,Iynbra

DOC

u

noBepHr.rre

ero

ro

qacosofi

crpenKe

Ao

HaAexHofi

i[urcaquu

('

I

go6opom).

Pucyuor

5-4.

Karerep DragonflyrM

no4coeAuHeH

x

nylrry

DOC

Mo6umuas

cucreMa

OPTISTM

Hncrpyrqnr

no

npnMeHeHlto

lLbbo6&

Brrnorneurle

[ccJreAosaHns

OKT

Ilogroronrca

K noJryqeHrrro

3arrilcefi

OKT

BHI,IMAI{IIE.

He

scrasJrnfire

n

He

orcoeArrHsftre

Karerep

Bo

BpeMfl

BbInoJrHeHnr

rrynbrou

DOC

cKaHupoBaHufl.

He

nrrraftTecb

orcoeA[HnTb

Karerep

or

rryJrbra

DOC,

KorAa

Mlrraer

cBeroArroA

<<loclo>

(6.rronnponrca),

rarc

KaK

3m Moxer

npuBecrrr

K noBperrcAenuro

Karerepa

[Jrrr

nynbra

DOC.

floxa

nylrr

DOC

amoMarr{rrecKr{ ycraHaBJrr{Baer

BuyrpeHHee

onroBoJroKoHHoe

coeAuHeHLIe,

LIHAI4Karop

<lock>

(6noruponra)

Ha

flynbre

DOC

rr,ruraer

r{

roput,

a

pacnonoxeHurrfi

s HuxHefi

rracrn

oKpaHa

gelesrrfi

uHAr{Karop

BbrnoJrHeHHfl

connecting

imaging

catheter

(no4rc;rroveHre

Karerepa

Anfl

nnryarusaqun)

[oKaxeT

3aBeprrreHr{e

BbrnoJrHeHnr

olepaqnH.

IIPIIMEqAHI{E.

B

clyvae

notBrIeHI,Ifl

npeAyrpexAeuus

Connection

Failu re

(c6oft

noArcflrcqeHnn)

ueo6xo4r,rMo

orcoeAr.rHuTb

Karerep

(uaxarr

KHonKy

unload

(orcoe4uueune)

Ha

nyJrure

DOC)

u

rronbrrarbcr

rroAcoeAr.rHr{Tb

Karerep

crroBa.

B

cnyuae

noBf,opHoro

florBJreHr,rr

groro

coo6qeHug

cneAyer

3aMeHr,tr6

KaTeTep.

IPUMETIAHI,IE.

B

cJryqae

ocmaHonKu

noAcoeAr,rH

envfl,

Hrrr4

nepnouavamuoft

ranu6ponrr,r

Ha

gKpaHe

rrofl

Br,rrcfl

npe,qynpexAeHr,re

Connection

Cancelled

(no4ruroueHue

orMeHeno). B

cryqae

no.fl

BJreHHr

gTono

npe4y[pexAeHnr

Heo6xo4uuo

orcoeAnHr.rrb

Karerep

(uaxarr

KHo[Ky

unload

(orcoegnHeuue)

na

nyJrbre

DOC), Haxarb

KHorKy

OK

n

nonbrTaTbcr

noAcoeAr{Hr,rTb

KaTeTep

cHoBa.

Ha

ercpaue

pa3Mep

lr

noJroxeur{e

BHerxHefi

o6oloqru

Karerepa

6yayr

cKoppeKTI,IpoBaHhI

B

coorBercrBnvc

raru6ponouHbrMr,r

MerKaMH

(crr,r.

puc.

5-5).

HIAhbott

Abbott

Medical

Aprunyn

ARTRU60

00220

5

3

BunollHerue

nccJreAonaHnn

OKT

[oAromnrca

K

nonyqen[ro

3anncefi

OKT

flocle

3aBepuleHplq

rloAcoeAplHeHuA14

[epBoHaqaruuofi

rcanr.r6poBKl,r

Ha

grcpaHe

norBJrflercr

[oATBepxAaroqee

coo6qenue

Catheter

connected

(rcare.rep

noAcoeAHHeH).

Cucreua nepexogur

B

pexuM

<Standby

View>

(npocnaorp

n

xAyrrleM

pexuue).

Pracyuor

5-5.

Karerep

noAcoeAlrHeH, nepBoHaqailbnar,

xanu6ponxa

BbrnoJrHeHa

Mo6uruuas

cr{creMa

OPTISTM

Hncrpyrqm

no

npnMeHeHuro

Buno.nHeHne

nccJrelonanns

OKT

IlogreepxgeHue

napaMerpoB

saflrrcrl

Ilo4reepxgeHre

napaMerpoB

3anhcxl

flocle

noAKJInqeHVq

Karerepa

K

nyJrbry

DOC

no4rnepAr,rre

Bce

napaMerplr

AJrr

4aHHofi

3anncH.

Hecrepnnsnuft

oneparop

l.

Haxunre

KHonrcy

Settings

(Hacrpofircn)

n

nepxnefi

qacru

oKpaHa.

Cnpana

orKpoercr

KoHTeKcrHoe

MeHro

Settings

(nacrpoft

xu).

Pncyuor

5-6. MeHro

(OCT

Settings>

(Hacrpoftru

OKT)

Bo

BpeMr

sarrkrcu

B

uesro

cJreBa

npuBoArrcff

AonoJrHnreJrbHbre

Hacrpofiru

nosnpara.

[lr

coBMeIrIeHHt

c

aHfl,Iorpatfuefi

HaxMlrre

KHonKy

Acquire

Angio

(nuno.iruurr

aHrnorpaQnrc).

r{ro6n

KHonKa

Acquirre

An

gio

(nrrnomrurb

aHrnorpaQnn)

crall'a

arrunuofi

,

seo6xoAllu

sxoAHofi

BlrAeoctrrHaJr

aHrr.rorpa(fun.

2.

llo4rnepgnre

rrpaBr,rJrbHocrb

rapaMerpon

Flush

Medium

(pacrnop

4.nn

rrponflbrBanua),

Pullback

Length

(4lnna

nornpara)

ra

Trigger

Tlpe

(run

ranycna)

4na

4anuofi

3anacr,r.

IIPIIMETIAHI'IE.

Eclu

napauerp

<Fllush

Medium>

(pacrnop

AJrr

npoMbrnauut)

Moxer

HMerb

roJrbKo

3HarreH[e

Contrast

Only

(ro.nuno

KoHTpacrHoe

Berrlecrno),

ro

r,r3MeHHTb

uacrpofi

ru

napaMerpa

Flush

Medium

(pacrnop

Anfl

rpoMbrnannn)

HeBo3MoxHo.

[onolHureJrbHbre

cBeAeHr,rr

cM.

B

pmAene

<MeHro

<Setup

-

Acquisition/Othen

(Hacrpofirca

-

nonyqeHue

/

gpyroe)>

Ha

crp.

l0-5.

Eclu

rzn

3anr{crr

ycraHoBJreH

rax

Stationary

(craruvecxaa),

napaMerp

Pullbach

Length

(g.nuna

rornpara)

r,r3MeHr.rrb

HeJrb3r.

[onoluureJrLubre

cBeAeHr,rr

cM.

B

p{NlAele

<Meuro

<Setup

-

Acquisition>

(Hacrpofirca

-

nolyveHne)>

Ha

crp.10-2.

Abbott

Medical

Aprurcyn

ARTRU60

00220

53

5-14

ffiAbhorr

Brrno.nnen[e

[ccJreAoBannn

OKT

Ilogrnep44enre

rapaMerpoB

3anncu

BHIIMAHI,IE.

T{.rrnnolyveHuflmqHbrxusMepenuftneo6xoAupro

nu6parr

ro

rrce

pacrBop

AJrfl

npoMbrBanufl,

rrro

HcnonbSyercfl

Anfl

noJryqen[n

nro6paxennn.

TIPIMEqAHIIE.

ftr

norryqeHnr

uso6paxeuuft

oKT

qerroBeKa

o4o6peno

roJrbKo

100

%

KoHTpacrHoe

BerrlecrBo.

'IPI'IMEqAH""'fffi,"ff*lHly#""H"$.T*"".:1ff

l;1":l;;;"'

#:lffi

:Jft':trffi

3llff;+:ffi

:ff

;"J#:,:TflTT,

Brrno.rnenue

rrccJreAosaH[q

OKT

Bnegenue

u

nosrrrltronrrpoBaHne

Karerepa

AJrfl

Bn3yaJr

n3arlr{H Drago

n

flyrM

Bee4enne

H

no3rqnoHnpoBaHre

Karerepa

trnf,

Blt3yaJrh3aqla]l

DragonflyrM

flpono4ularonrrfi

naretep

u

npoBoAHt4K

AoJrx<uu

6urr

BBeAeHbr

B

cocyAr.rcroe

pycno

traqneHTa

nocpeAcrBotrl

o6uqsofi

KJrrrHnqecKofi

npoqe4ypbr,

nocJre

qero

uoxer

6srru

BBeAeH

Karerep

Ant

Bltryanvsa\un

Dragonflyrt.

Ans

o6ecneqeuuq

6esonacHocrn

naqneHTa

r,r

HaAnexarqefi

pa6oru

Karerep

DragonflyrM

golxeH

6urs

nne4eu

n

npoBoAHrrKonrrfi

rarerep

HaAnexarqurra

o6pa":orra.

flocle

rofo

KaK

Karerep

DragonflyrM

BBe4eH,

ero

MecrofloJroxeHue

v

pacrroJroxeHr,re

npoBoAHHKoBoro

Karerepa

Moryr

6rrrr

neunoro

cKoppeKTrrpoBaHbr

4lr

o6ecneueuur

onrI,IM

aJr

bH

oit

yuzy

alu3

alluu.

BHIIMAHIIE.

V6eAnrecr,

rrro

rIpH

BBeAeHuu

Karerepa

Arq

Bn3yarrr3arlnu

B

cHcTeMy

He

nonaJr

Bo3Ayx.

HecreprnbHbtfi

oneparop

l.

Y6eAnrecr,

qro

Karerep

DragonflyrM

ue

npaqaercr

(npn

ueo6xoglluocrn

HaxMr,rre

KHorKy

Standby

View

(npocMorp

B

)r(AyrrleM

pexnrvre)),

rpexAe

rreM

crepl,InbHblfi

oneparop

HarIHer

ero

noAcoeAr4HrrE

r4

BBoAr4Tb.

flpu

ueo6xo4t4Mocrr.t

nn6epure

Vessel

lcocya)

u

Procedure

(npoqegypa)

e

norrx

e Hr,rxHefi

qacrr,r

eKpaHa.

Crepnnunulfi

oneparop

Ha4eurre

Karerep

DragonflyrM

na

nocrosHssrft

npoBoAHr.rK

Ar,raMerpoM

0,356

ruu

(0,014

4roftrraa),

BBe.qr

[poBoAHr,rK

B

npocBer

6ucrpoft

saMeHbr

Karerepa

qepe3

ArrcraJrbHbrft

rcoseq.

PACIIOJIOXIITE

Karerep

cornacHo r,rHcrpyKrltln

no

npr,rMeHeHr,rro

r4crronb3yeMoro

KaTeTepa.

BHIIMAHI,IE.

Jfto6ue

MaH

HrryJrfl

rlurr

c

KarerepoM

AJrfl

Brr3yaJr

rr3arIHH

DragonflyrM,

conponox4aroqfiecr

u3MeHeHueM

ero

noJroflceHr.rn

B

cocyAtrcToM

pycJre,

cJreAyeT

BbltroJrHflTb

noA

peHTreHocKonHqecKHM

KoHTpoJreu.

Bo

Bcex

cJryrraflx

Ir

poABr.rxeH

ne

I.I

[3BJreqeH

ne

KaTeTepa

cJreAyeT

Bbrrtornqrb

MeAJreHHo.

HesHnoJrHeH[e

rpe6onanun

o

peHTreHocKon[qecKoM

KoHTpOJre

MOTKeT

ITpHBeCTH

K

noBpe)r(AeH

uro

cocyAa

HJr

H

ycrpofi

crna.

r{.n

n

o6ecnerreHurr

HaAJr

exaqero

rroJrormeHnfl

He

trepeMerrlaft

re

nponogu

n rc

trocJre

ycraHoBnrr

Karerepa

DragonflyTM.

2.

a

J.

FAhbon

Abbott

Medical

Apruryr

ARTRU60

00220

53

Bu

no.nHenlre

HccJreAoeaHuq

OKT

BnegeHue

rr

rro3rr

ruoHHpoBaHHe

Karerepa

AJrfl

Brr3yaarrgarlun

D

ragonflyrM

Ecln

Bo

BpeMq

rrpoABrrxeHun

Karerepa

AJrfl

BH3yaJrn3aqnn

Dragonflyru

BnepeA

ouyqaercs

co[

poTrIBJreH

rre,

npeKpaTHTe

BCe

MaHHrryJrfl

rl

H

[r

c

KaTeTepoM

rr

ycTaHoBrrTe

[pwtr.rHy

colpoTr.tBJreHHfl

npn

rroMorrlu

peHTreHocKonHH.

Ec.nu

He

yAaeTcq

ycTaHoB[Tb

rrJrH

ycTpaH[Tb

IIpuqHHy

conpoTHBJreH[f,

OCTOpO,KHO

H3BJTeKH're

KATeTep

n

npoBoAHrrK

H3

COCyAITCTOTO

pycJra

[aqrreHTa

KaK eAuHoe

qeJroe.

3anpeqaercq

orcoeAnnflTb

npoBoAHHK

or

Karerepa

Bo

BpeMfl

rrcnoJrb3oBaHnfl,.

He

Hgsrercafire

n

ne

rrepeMeqafire

nnepeg

npoBoAHnK,

npexAe

qeM

rr3BJreqb

KaTeTep.

HecrepnnbHbtfi

oneparop

(rnu

creprnbHbtfi

oneparop)

4.

Haxuure

KHor{y

Live

View

(npocruorp

B

pexuMe

peaJrbHoro

npeuenr.r)

zlu

IrIeJrKHure

Live

View),

uro6u

c[creMa

HaqaJra

cKaHrlpoBaHr{e

B

pexr,rMe

peaJlrHoro

BpeMeHr,r

(npaqenr,re

o6ecne.rusarcqero

[oJryqeHue

uso6pa)KeH:aA

Aarqr,rKa

c

Hragxoft

cxopocruo).

Konrqo

BoKpyr

KHonKI,I

Live

View

(npocruorp

B

pex(IrMe

peaJrbHoro

npeneuu)

Ha rryJrbre

DOC

saropr,rrcr

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rr(AyuleM

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ueu

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r,r3BJreqeHr.re

n

oTcoeAMHeHLre.

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2.

flocle

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flpoBoAHr,rronrrfi

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fl

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ne

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naqueHTa

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eAIlHoe

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lrs

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n

cHr,rMr{Te

ero

c

npoBoAHr.rKa.

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or

nylrra

DOC,

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Unload

(orcoeguneHne).

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<lock>

(6noruponra)

repecraHer

Mr.rrarb,

npourofi

4er

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flporlrB

qacosoft

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orcoeAuHlrrb

ero

or

[yJrr,Ta

DOC.

Abbott

Medical

Apruryn

ARTRU60

00220

53

a

J.

4.

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neHrre

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OKT

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ragonflyrM

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l.

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Stop

(cron).IIpu

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erofi

rcnonru:

.

Moropbl

nyJlbra

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orrnroqarorcr,

cneAoBarenbHo,

npeKparqaercr

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H

nocTynaTeJlbHoe

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r

ocraHaBJllaBaercr

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t[naNor

Automatically

review recordings

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sanrrcn

aBToMarrrqecrcu)

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BKJTaAKe

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(no.nyuenue

nro6paxennn)

4ualoroBoro

oKHa

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(Hacrpofina),

ro

nnnolHeuHat

3anHcL

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lrepBoHaqaJlbHo

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BbrrroJrHeHuro

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onepaqlrft.

BH[IMAHI,IE.

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ocraHoBnJrcq

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rroJruocrbx)

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cucreMa

oro6paxaer

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Gatheter

Must

Be

Advanced

to

Continue

(Ann

npo4onxeHut

Karerep

AonxeH

6urs

eeegen).

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KHorrKy

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Catheter

(gsnxexue

Ka'Terepa

enepeg),

qro6sr

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nepeMecruJrocb

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qeM

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Abbott

Medical

Apruryn

ARTRU60

00220

53

2.

rcn

Ej

abbott

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uccJreronaHus

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ycrpaHeHrre

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ToM

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uyJrbry

DOC.

B

clyuae

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Ant

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r,r3

crpofl

(nolnufi

pa3pbrB

onronolonua)

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Medical

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ARTRU60

0022053

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ffiAElbott

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no.nnenlre

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no

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npenar Bbr[oJrHeHr.rr

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orcoe,quHeHr,rr

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2

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Medical

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0022053

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sanepurrarcr,

Ha

gKpaHe

noflBr.rrct

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Abbott

Medical

Aprurcyr

ARTRU60

00220

53

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no

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Ilpocnrorp

ganucefi

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nro6paxennr)

-

geficrnyer

npr.r

craruqecKoM

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lrJrr,r

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-

gocrynHa

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ua

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a

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ffiAhhort

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Medical

Aprurcyn

ARTRU60

0022053

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sanuceft

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uro6paxeHur

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-

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pa3Aene

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--

qemuure,

vro6rr

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pacrcpunaroulnftcr

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onucaHnr

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u

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crp.

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o

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,{onomrurenbHbre

cBeAeHlafl

cM.

B

pa3AeJre

<BHA

s

pexnMe

L-Mode (npo4olrHoe

ceueuue)> na

crp.

6-5.

Oxno

uso6poKeHr{r

-

no[epeqHoe

ceqeHr{e cocyAa.

Menro

view

(nua)

-

BKrrroqaer

noAMeHro

Advanced

Display

(Aonolnnrorrxoe

orodpaxenne)

u

Lumen

Profile

(npoQulr

npocnera).

Menro Measurements

(uenrepennr)

-

u

AaHHoM

pa3Aene

raKxe

nepeqncJreHrr

r.r3MepeHr{t

Tel(yqero uso6paxeuua.

Il{erucHure

H3MepeHr,re,

uro6rr

orMernrb

ero

B

oKHe

nao6paxenua.

3naqox

bnorupoerut.

tlro6u

pas6norcnpoBarl

r{Jrr{

ea6noxupoaarl

aBroMarutrecKt,l

creHepltpoBaHnufi

nonryp

npocBera,

I{eJIKHHre

3HaqoK

B

Br.rAe

3aMKa.

(flo

yrvron.raunrc

KoHTyp

npocBera

sa6lorutponan.)

linr

II3MeHeHLrr

4aHHofi

o6nacru

pa36roxr.rpyfire

rcouryp

npocBera.

Olaxon

<Lumen

Contouu

(ronryp

npocrera).

Vcranosure

r,rJru

cHuMr,rre

gror

$raxox,

qro6u

BbrBecru

Ha

gKpaH

r,rJrn

cKprrrr

KoHTyp

npocBera

B

oKHe

noo6paxeuur.

T

ff!Ahbott

Abbott

Medical

Apruryr

ARTRU60

00220

53

Ilpocuorp

ganncefi

OKT

BnA n

pexuMe

L-Mode

(npogo.nrnoe

ceueHne)

Bug

B

pexnMe

L-Mode

(npo4onbHoe

ceqeHne)

IIPIIMETIAHIIE.

llpu

npocrraorpe

3anl,Icvruna

Stationary

(craruueucan)

o6nacrr

oro6paxeuufl

cocyrya

B

pexr{Me

L-Mode

(npo4onsuoe

ce.reune)

neper,rMeHoBaHa

B

Timeline

(epeueuuan

wxana),

Bperr,reHnar

rrrKaJra

oro6paxaer

crarnqecKlrit

su1

Karerepa

Ha

rrporf,xeHuu

lrrecrr,r

cercyHA

3anr{cu.

Bo npeur

3anucn

OKT

so

BpeMr

BosBpara

AarqlrKa

cncreMa

BbrnoJrHrer

rrepe3

paBHbre

paccToflHl,It

cHI,IMKr,r

noflepeqHoro

cerreHHr

H

[rcnoJlb3yeT

I,Ix

AJI'

Bocco3AaH[t

npoAoJrbHoro

ceqeHlrr

cocyAa.

flpo4oaruoe

ceqeHne

cocyAa

oro6paxaercr

n

o6lacryr

mo6paxeuur

cocyAa

B

pexr,rMe

L-Mode,

pacnoJroxeHHofi

e

suxHefi

qacrr,r

eKpaHa;

AHCTaJIbHat

rIaCTb

3anr,rcH

HaxoAr,rTcr

cJIeBa.

Ta6nraqa

6-2.Bul

B

pexr.rMe

L-Mode

(6oxonar

npoerqr.rx)

Mexp

<<View>

(aua)

Vxa.garenr

rrJro

cKocrn

ceqeHl{t.

O6nacrs oro6paxreHur

cocyAa

B

pexnMe

L-Mode

(npo4onruoe

ceveune)

Yrasarem

rer(yqeFo

KaApa.

Il{errurure

n rloralqnTe

gTy

JII{HIIn,

qro6u

I,I3MeHI{Tr

npoAoJrbHoe ceqeHne, rtorcxlaHHoe

s o6nacru

oto6paxeuus

cocyAa

B

pe)KHMe

L-Mode

(npo4oruuoe

ceuenne).

Konryp

npocBera.

Cucreua

aBToMarutrecKr{

BbrnoJrHfler

rpacc[poBKy

KoHTypa

npocBera

Ha

Ka:(AoM

KaApe.

,{onornurerbr{ble

cBeAeHHf,

cM.

B

pa3Aene

<@yurcqur

oro6paxeunr

npo$ranr

rpocBera)

ua

crp.

7-19.

UPIMEIIAHIIE.

lllr,rpuna

orHa

uso6pDKeHLIt

B

pexltMe

L-Mode

(npo4olrHoe

cerIeHI,Ie)

npeAcraBnter

Bclo upoAoJIXI{TeJIbHocrt;

3anucu.

A

B

c

D

Mo6uruuar

cucreMa

OPTISTM

I,Incrpyrqua

ro

npLIMeHeHI,In

kD

EI

"&Eehofr&

ilpocrvrorp

rannceft

OKT

BUA

e

pex(rrMe

L-Mode

(npo4olrnoe

ceveHue)

orpan

nveHur,

Kacapqxece

AaH

Hbrx

pexlr

Ma

L-Mode

(n

pogonuHoe

ceqeHue)

Cle4yer

rIoMHItrb

o

cJleAylorqux

orpaHzrreHprrx,

Kacarcunxcfl

AaHHbrx,

noJryqeHHbrx

B

pexr,rMe

L-Mode.

I4z-ga npor{3BonbHoro

rronoxeHnfl

Karerepa

BHyrpr,r

cocyAa

raso6paxeune

n

pexr4Me

L-Mode

Moxer

He

coorBercrBoBarb

QarruuecroMy

npocBery

cocyAa.

,{uauerp

cocyAa,

noKa3aHHbr

ir

ua

uso6pa>Kenvu

B

pe)KnMe

L-Mode

(npogonrnoe

ceueuue),

noJryqeHHoM

nyreM

peKoHcrpyKrlr,rpr,

Mo)r(er

6rIru

sHaqr,neJrbHo

MeHbrrre

Sarruuecroro

Ar,raMerpa,

eclrvr

Karerep

cMerrleH

or

rIeHTpa

r,r

pacnonalaerct

s6rlrsn

creHKr,r

cocyAa.

9ro6u

us6exarr

n

no4o6Hou

cryrrae

uenpanulrnoft

LlHTepnperaquu

uso6paxeHlrr,

cJreAyer,

noBepHyrb

nJrocKocrb

cpe3a,

qro6s

n3yrrr4Tb Bce

BrdAbr

B

perfl,rMe

L-Mode.

BuA

n

pexr.rMe

L-Mode

(npoAonruoe

ceueuue)

BcerAa

oro6paxaercfl

nprMrrM

rd

BbIpoBHeHHLIM

IOCpeACTBOM

nOBOpOTa

B

COOTBeTCTBT,Ir

C

MeTOAOM

BOCCO3AaHn'.

Apr:e(famu,

Bbr3BaHHbre

orHocr,rreJrbHbrM

ABr,rxeHueM

Karerepa

n

cocyAa,

qacro

Bbr3hrBaror

ry6uaro

mr

peKoHcrpyr{poBaHHoro

uso6paNeurar,

u

ueonrrflruft

noJrb3oBareJrb

MoxeT

r,rHTeprrpeTlrpoBaTb

ux

HeBepHo.

florsreHrae

apre([arron

yMeHbrueHprr

r,rrr,r

yBerr,rqgHrir

AJrr.rHbr

peKoHcrpyr,rpoBaHHoro

uso6paxeHr4rr

B

pexnMe

L-Mode Moxer

6nrr

csrgaHo

c

[epeMerrleH[eM

Karerepa

Dragonfl

y

orHoc]rreJrbHo

KopoHapnofi

aprepnu

r{3-3a

4nuxenzfi

cepArla naqueHTa.

Cuuuox

anruorpa([[r{

HeJrb3.rr

roBopaqrrBarb.

Abbott

Medical

Aprunyn

ARTRU60

00220

53

erepre'rur,,n""nl"l'oiTilXrTffi'"H:"T'l

eneuenrbr

ynpaBreH[r

Bocnpon3Be4eHleM

Ta6nuqa

6-3.

3rerraeHTbr

ynpaBJreHr,rr

Bo

cnpormBeAeHr4eM

G

E

D

c

B

A

A

Menu

(naenm)

-

orKpbrBaer KoHreKcrHoe

MeHro.

Il{enrcHure

AJrr

Aocryna

K

uacrpofirau

lr

gJreMeHTaM

ynpaBJreHr{r

ramOponxoft

aocnpousneAeHnr.

[eftcrnyer

ToJrbKo

Ars

crarHqecrux

uso6paxenufi

ulu

npuocraHoBneunoft

3anr.rc[.

Cnucorc

Vessel

(cocg)

-

uleJrKHr{re,

um6n

pa3BepHyrb

pacKpbrBaroquficc

cnucoK

cocyAoB

AJrr

ont,tcaHur

4auHoft

garfircLl

Cnucox

Procedure

(npoqe4ypa)

-

rqenrurure,

uro6rr

pa3BepHyrb

pacxpxnaroqufica

cur{coK

[poqeAyp

AJrr

olucarrrls

AaHHoft

3anucr{.

Step

Backward

(ruar

Hasal)

--

qeJrKHHre,

qro6rr

nepeMecrr,rrlcr

no

3arlrcu

Ha

oAr,rH

KaAp

Ha3aA.,{m

6rrcrporc

nepeMerqeHur

Ha3aA

rrlenKHr{re

u

yAepxunafirc.,fta

craruqecKux uso6paxeuufi

Aasuuft

gJreMeHT

HeAocryrreH.

Play/Pause

(rocnponrne4enne/nayra)

-

sanycraer

r{

[pnocranaBJruBaer

Boc[por,r3BeAeHue

3anucn.

B

cny.rae

npnocraHoBKl{

3anltcu

B

BepxHeM npaBoM

ynry

o6ractlr uso6paxenur

rroKarbrBaercr

HoMep KaApa.

Arr

craruqecxux

uso6paxeuuft

Aansrrfi

gJreMeHT

HeAocryrreH.

Step

Forward

(urar

nnepe4)

--

qenKHl{re,

uro6rr

nepeMecrr,rrbcr

rro

3anr,rcn

Ha

oAuH

KaAp

BlepeA.

,{nr

6ncrporo

nepeMerqeHr{r

BnepeA

rrlenKnr{re n

yAepxnBaftre.

ftr

crarnqecKr.rx

uso6pa:rcenuft

AasHuft

gJreMeHT

HeAocryneH.

End Review

(ranepnnrr

npocuorp)

/ New

Recording

(nonan

ranncs)

-

HOr(MHre

KHo[Ky

End Review

(ranepunrr

npocuorp),

qto6u

3aKpErrL

9ro

oKHo

r{

BepHyrLct

K

MeHro

Patient Summary

(cno4nan

nn$opuaqnr

o

naqnenre).

IIPIIMETIAHIIE.

floxa

cucreMa

noAKrrroleHa

K

Karerepy

AJrr

BnsyaJrn3aqHu

Dragonfly,

s

groft

qacrr{

eKpaHa

oro6paxaercs

KHonra

New

Recording

(nonar

sanncr).

Haxunre

KHorrKy

New

Recording

(nonan

ranncs),

qro6rr

3aKpbrrb 9To

oKHo

npocMorpa

H

Harrarb

HoBvIo

sanucr OKT.

c

D

E

G

Mo6urusar

cucreMa

OPTISTM

I4ucrpyrcqrar

ro

npr.rMeHeHr.rrc

ffiatsb@ee

Ilpoc*rorp

sanncefi

OKT

KoppercrupoBKa

ralu6porrcu

KopperrnpoBra

Kan

n6poBKtl

Kopperruponra

xarur6poBKr,r

3anr,rcrr

BbrnoJrruercr

c

noMorqbro

cpeAcrBa

Adjust

Calibration

(gono;rnnrerbHaq

nann6ponna).

1.

C

nouou{rto

gJIeMeHToB

yrlpaBJreHufl

Bocnpor,r3BeAeHr.reM,

pacnoJroxeHHbrx

B

szxnefi

qacrlr

sKpaHa,

flp]rocraHoBr.rre

Boc[pou3BeAeHr,re.

2.

HaeeAlrre

Kypcop

TIJII,I

HaxMnre

KHonrcy

Menu

(nrenro)

e

HnxHeft

rracrr.r

oKHa

r,r

nsr6epnre

Bapr.raHr

Calibration

(rca.n

n6ponxa).

Orrpoerca

cpeAcrBo

Calibration

(rca.lu6ponrca).

Hso6paxeHue

6y4er

yBeiluqeHo,

I,I

Ha

gKpaHe

nof,Burc.fl

xaru6ponovHar

oKpyxHocrb

c

AByMfl

ToqKaMr,l

ynpaBJIeHIrt,

panMep

roropofi

npu6rnsurenruo

6y4er

coorBercrBoBarb

HapyxHoMy

AHaMerpy

Karerepa.

PucyHor

6-1.

Kanu6poBKa

AJrr

Bocilpolr3BeAeHr.rr

(noxarau

Karerep

DragonFly

Duo

so

BpeMs

BbrrroJrHeHur

ranu6ponxlr)

3.

Il{elrHure

u neperalr{ure

KoHTpoJrbHbre

rorrKr.r,

noKa

rcaru6pono.rHHfi

Kpyr

He

coBIIaAeT

c

BHeIIIHI,IM

AItaMeTpoM

KaTeT€pa,

KaK

[OKa3aHO

Ha

[pHMepe

s

Hr,rxHefi

qacTH gKpaHa.

IIPIIMETIAHI{E.

B

4auHou

oKHe

KoppeKrupyercff

p

osMep,

a

He

pacnon

ouce

Hue

oKpyxHo

crrr.

flpu

nocnpor,r3BeAeHur.r

Karerep

uoxer

6

nrr

pacrroJroxeH

rro rIeHTpy

oKpyxHocrr.r

He

Ha

ncex

ragpax.

3ro

HOpManLHO.

ffiabborr

Abbott

Medical

Aprnrcyr

ARTRU60

00220

53

Ilpocn'rorp

sanncefi

OKT

KopperrnpoBKa

Kanu6ponnn

4.

Haxuure

KHorrKy

Accept

(npnHarr),

.no6n

coxpaHlrrb

ralu6ponrcy,

ultr

Cancel

(oruena),

qro6n

3aKpbrrb

r.rHcrpyMeHr

ralu6ponrcn

6eg

coxpaHeHnfl

perynupoBKr,r.

IIPI4MEqAHIE.

Eclu

neo6xoAr,rMo,

MoxHo

BepHyrb

ralu6ponxy

sanr,rcu

no

yMonqaHnro,

HaxaB

KHorrKy

Remove

Adjustment

(yga.nnrr

KoppercrnpoBrqy).

flpra

y4anenl,zra

vrrvr

r,r3MeHeHr,ur

ranu6ponrr.r

Bce

Lr3MeHeHnfl

aBToMarr,rqe

cKH

co3AaHHoro

npoSunx

rpo

cBera

npr.rBeAyr

K r,r3MeHeHnro

no

cJreAyroqux

nruepeuurft.

,{onorulrreJrbHbre

cBeAeHHr

cM.

B

pa3AeJre

<@yHrcqur

oro6paxeHnr

npo$nlr

rpocBe'r'a>

Ha

crp.

7-19.

IIPIIMETIAHIIE.

Ecln

nolsgoBareJrb

HaqHer

nporleAypy

ralu6ponncu

nocJre

ycneruuoffi

raru6pourr{

3anucr{

cllcreuofi

(uro

norrraoxHo

roJrbKo

Arrr

Karerepa

Dragonfly

OPTISTU),

Ha

erpaue

rrorBr,rrcr

coo6qesne

Override

(nepeonpege.nenne),

[peAynpexAarouee

noJrb3oBaTeJrr

o ToM,

qTo

3anrdcb

yxe

orramr6poBaHa

cr,rcrerraofi

.

Eclu

rroJrb3oBareJrb

repeolpeAeJruT

ycneuuyro

HenpepbrBHyro

ralu6ponry,

pe3ynbrarbr

Moryr 6n'm

uenee

roqHbrMr,r

glr

srofi

sar.vev.

O6uquo

em

tpe6yercfl

ToJIbKo

B

ToM

cryrrae,

ecru

BbrrroJr

Her{Hag

cl{creMofi

ranr,r6poeKa

coAepxur

oxreBr,rAHyr}

otuu6ry.

Mo6HmHaq cucreMa

OPTISTM

llucrpyxqur

no

rpr.rMeHeHraro

[pocuorp

sanncefi

OKT

IlgueneHne

napaMerpoB

BocnporlrBeAeHlrfl

J4gueHeHlre

napaMerpoB

Bocn

pon3BeAeHrr

1.

Haxunre

KHonr(y

Settings

(nacrpoftnu)

r

nepxueilaacru

eKpaHa.

Orrcpoercr

KoHTeKcrHo-3aBrrcr.rMoe

MeHro.

2.

9ro6u

3aAarb

cKopocrb

Bocnpor,r3Be4enr4fl,

rrleJrKHr,rre

r{

neperarrlure

noJr3yHoK

Playback

Speed

(crcopocru

BocrrponsBegenun).

3.

Il{elrunte

u

ueperalqr,rre

rroJr3ynoK

Rotation

(npaulenue),

vro6u

noBepr{yrb

uso6paxeune,

noKanaHHoe

B

oKHe

nouepeqHoFo

cerreHufl.

IPUMETIAHI,IE.

Ecnr,r

r,rso6paxeHl{e

noBepHyro,

ro

raKxe

6yaer

roBepuyr

MapKep

nrocKocrr.r

BuAa

B

pexr,rMe

L-Mode

(eclu

on

oro6paxaercr)

u

nce

noKa3aHHbre

H3MepeHr,r

fl

u

npuueqannfl

.

4.

Il{elrHIare

u

IIoraIqI,Ire

rIoJr3yHKH

Black

level

(yponeHb

qepHoro)

u

White

level

(yponeHr

6e.noro),

qro6rr

Hacrpormb

6arauc

qepHoro

n

6eroro

rIBeroB

AJrt

nso6paxeuur.

5.

Il{etrHnte

crperll(y

pacKpbrBarorqerocq

MeHro

Field of View

(nole

o6ropa),

qto6u

oto6pasnrr

cnlrcoK

sHa.reHltfi

Ar{aMerpa.

3Ha.reHr,re

tro

yMorqaHnro:

7r0

uu.

Hacrpofira

F'ield

of View

(nore

o6ropa)

KoHrpoJrr.rpyer

pa3Mep

oro6paxaeuoro

Ha

eKpaHe

uso6paxeuns.

MeHrulee

noJle

o6ropa

coorBercrByer

6oltruefi

creneHr,r

yBerr,rqeHr,rr.

Il{elrnure

petMep,

qno6n

nrr6parr

ero.

Pucyuor

6-2.

Hacrpofirn

nors

o6sopa

IPIMEIIAHI'IE.

Eclu

qemnytr

r,rso6paxeHr,re,

ro

9ro

roxe

npr,rBeAer

K

[r3MeHeHuro

uacutta6a.

Cr*'r.

pas4en

<(Dynrqur

<Quick

Zoom>

(6ucrpoe

u3MeHeHHe

naacrura6a)>

na

crp.

7-16.

Abbott Medical

Apturyr

ARTRU60

00220

53

6-10

ffiabbott.

Ilpocrvrorp

ganncefi

OKT

3;reueHru

ynpaBJrennfl

sarcIraAraMn

Sneuenrbr

ynpaBneHnr

gaxna4raMx

Cucrerraa

no3BoJrfler

Ao6asr.f,ru

3aKIraAKlt,

qro6u

floMeqatrb

KaApbr

AJrrr

AOnOJT

HHTeJIbHOTO

Ir3YqeHVt.

IIPIIMETIAHIIE.

Sleuesru

ynpaBJreHr,rr

3aKJraAKaMr,r

AocryrrHbr

roJrbKo

npu

BKJrroqeHHoM

Br,rAe B

pexuMe

L-Mode

(npo4onrnoe

ceueHue).

Ta6rnqa

6-4.

SirerraeHTlr

ynpaBJreHr4fl

3aKJraAKaMu

,lA

TB

+c

\o

A

Add/RemoveBookmark(4o6annrr/yqaJrrrrb

rannagqy)

-

ycraHaBJrnBaer

r,rnu

yAaJrf,er

3aKrraAr(y,

coorBercrByroqyro

rerryuleMy

raApy.

flocle

.qo6anneuua

3aKnaAKr{

r

raApy

noJroxeHue

3aK,raAKr{

o6osHaqaercs

Ha

BHAe

B

pexflrMe

L-Mode

(npo4onrnoe

ceueuue)

3eJreHbrM

rpeynonbHranoM.

Il{em<unre

}rHAuKarop

3aK,raAKr{

AJrfl

nepexoAa

r

reApy

c saKnaAxoft.

IIPI{MEqAHIIE.

,{m

KaApoB

c

r{3MepeHnrMn

H

norcHeuurMr{

saKrr4AKLr

co3Aarorct

aBToMarur{ecru.,{ononHureJlbHble

cBeAeH}rr

clr.

s

ffrase 7

<HsrraeppHr.rr

u

norcHeHl4r).

Previous

Bookmark

(npe4srayuafl

saKnaAKa)

-

nunorHrercr

rrepexoA

K

npeAbrAyrqeMy

KaApy

c saKraArcofi.

B

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Cancel

(ornreua),

qro6u

ilpepBarb

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nporleAypn. Haqnure

upoqerypy

3aHoBo

r{

rroBropr{re

u4enrut[uraqurc

cocyAa

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aHrr{orpaMuu

(cuorpr{re

onucaHue

uara

l).

Mo6umnar

cucreMa

OPTISTM

Hncrpyrqnf,

no

npr.rMeHeHr,rp

mgbho&r

Ilpocrvrorp

sanncefi

OKT

llpocuorp

c

coBMerrleHneM

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aHrnorpaQneft

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aHruorpa$uefi,

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3

8.

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npaBr{Jnuofi

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(or

gucranrHofo

K

npoKcr{MaJrbHoMy

ronqy).

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KHonKy

Confirm

(no4rnepqnrr),

u'ro6sr

npr,rHflTb

nyrb

oocyAa

r,r

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flora

cucreua

6yaer

coBMerrlarb

AaHHbre

aHruorpa$ula

c

KaApalan

OKT

Ha

gKpaHe

6yae.

oro6paxarucs

coo6ueune:

Please

wait for

co-registration

(no4ox4ure,

B

br rroJr

Hfl

ercfl

coBMerrleuue).

3ror

npoqecc

3aHlrMaer

HecKoJrbKo

ceKyHA.

flocne

rofo

KaK

coBMeIrIeHLre

6yler

3aBeprueHo,

Ha

gKpaHe

norBr.rrcr

coo6uleHrae:

Coregistration

completed

successfully

(conmeqeure

ycrerrruo

sanepureuo).

rrPlIMErrAHI{E.

Ecru

nyru

cocyAa

3aAaH

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r{Jrr,r

ecJrr.r

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c

Hapy[reHueM

nocJreAoBareJrbHocrn,

HaxMnre

KHonKy

Restart

(neperanycrurr),

qro6u

3anycrr,rrb

Bbr[oJrHeHue

rporleAypbr

3aHoBo.

Haxuure

KHorKy

Cancel

(orueHu'rr),

qro6u

flpepBarb

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rpoueAypbr

n

BepHyrbcfl

K

oKHy

npocMorpa.

IPIMEqAHIIE.

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nrr6paHHbre

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no3Bonrror

clrcreMe

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rroJrHoe

coBMerrleHr{e

o

aHrr{orpa$ueit,

To

Ha

oKpaHe

norBnrcq

coo6rqeuue

Warning

(nunuauue).

Haxunre

KHonr(y

Cancel

(ornenurr),

uro6n

npepBarb

BbrnoJrHeHne

npoqeAypu.

floruaroBbre

r,rHcrpyKrlr,rr.r

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nepe3anycruu

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rn6oe

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trj

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Apturvn

Abbott

Medical

ARTRU600022053

Ilpocnrorp

sanrceft

OKT

Ilpocnrorp

c coBMerqeHtleM

c

aHrnorpaSneft

Pucynor

6-12.

Oruro

c

coo6qeuueu

o6

ycneruHoM

3aBeprrreHr.ru

coBMerqenufl

c

ar+ruorpa(pueft

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pacnoroxeuHoM

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qro

orcrexusaerunfi

rryTb

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[peAeJrax cocyAa.

3areu

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(npnnnrr),

um6u

uc[oJrb3oBarl

yc[errrHoe

coBMerrleHr,re

c

aHruorpa(fueft.

B

ruasnoru

oKHe

norBrrcr

coBMerqeHHbre

uso6paxeuur.

Haxuure

KHorrKy

Cancel

(onneHnrr),

uro6u

3aBeprunrb

nporleAypy

6es

no4rnepxAeur{r

HoBbrx

pe3ynbraroB

coBMelqeHurr.

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uo

upnMeHeHrro

lpocuorp

sanucefr

OKT

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c coBMerqeHrreM

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B

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auruorpai[uefi

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-

(Hl,r3rcyn

AocroBepHomr>.

Kpoue

rorc,,

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xpacuoft

u

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urale

(uuxe

aHruorpauuu).

IIPIIMETIAHIIE.

OtueqeuHne

KpacIrbIM

o6racru

Ha

ruKaJre

(cna.

rpacryro

crpenKy,

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noA

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6-13)

noKa3brBaror

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anruorpa$r4lr,

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c

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ffinnnoffi

Abbott

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Apruxyn

ARTRU60

0022053

llpocuorp

ganuceft

OKT

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c coBMeIr1eHlleM

c

aHruorpa$neft

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(6ucrpoe

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(cu.

pasgel

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(6ucrpoe

H3MeHeHr4e

uacmra6a))

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crp.

7-16)

4rlx

orHa

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(anruorpaifrar),

npocro

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uso6paxeuue.

Ycrpanenile

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aHruorpa$hefi

IIPUMETIAHIIE.

Kor1a

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c

aHrnorpatlnefi

3aBeprrreHo,

KHonKa

Co-Register

(couueqeHue)

roflBJrflercr

B

Kor-rreKcrHo-3aBncrrMoM

MeHro

(Menu).

Eclu

uyxuo

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aHruorpat[uefi,

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Co-Register

(conrueqenue).

flocle

gToFo

nu

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1

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no

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ACR

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nOACLICTeMLT

coBMeuIeHHx

c

anruorpar[raeft).

Bogsurua npo6reua

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npo6leua

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cucrenrofi OKT.

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Abbott

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Crra.

pas4er

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ACR

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Abbott

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crj:.9-2.

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Abbott

Medical

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ARTRU600

022053

llpocnrorp

sannceft

OKT

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c coBMerqeHHeM

c

aHr[orpaQr.refi

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3anucu

anrnorpa{uu).

Brmolsenue

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no

cJIe HaqaJIa

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OKT

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c

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(our,r6Ka

AaHHbrx

conueqeuua).

npo6neua

npu

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coxpaHeHr{u

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Abbott

Medical>

na

crp.9-2.

Vcrpanenne

HerronaAorc

n

pa6o.reu

[poqecce

coBuerqenrrr

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vessel

hace

is

not

valid>

(ue4onycruuufi

nyrr

cocy4a).

ll{enrcrnre

(Retry)

(nonropuru)

4lx

BBoAa

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nyrvwrn

<Cancel>

(oruena)

Anr

BErxoAa.

BosMoxHsre

npHqr|Hbr

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nonb3oBaTeJreM

[yTb

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cocyAa

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ffil

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ro*Abbott

Abbott

Medical

Aprnryn

ARTRU60

00220

53

Ilpocrvrorp

sanrceft

OKT

flpocnrorp

c coBMerqeHueM

c

anrnorpa$ueft

llpurHan

Coo6qeuue:

<Co-Registration

failed;

He

y4anocr

3aBeprrrurb

Ilfenrcuure

Enter

the

lens

marker

could not

be

detected

pacqer

coBMerrIeHHr.

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(oruu6ra

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MapKep

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ne

o6uapyxen).

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noJIoxeHHeM

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LIJIH

HaKMr4re

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(nuxo4).

Coo6uesue:

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entered

lens

marker

position

is

not

valid>

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ruHsu). Il{enxuure

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<Cancel>

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qro6u

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4nr

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pa6overo

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rrraprep),

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Coo6uleune:

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lens

marker

candidates

were

detected>

(o6napyxeno

HecKoJIbKO

BO3MOXHbIX

BapLIaHTOB

MapKepa

nuusrr).

Haxuuafire

KHorrKy

<<Next

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Candidate>

(cregyrcqrfi

noguoxnuft

uaprep),

nora

ue

6y4er

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npeAeJrax

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fforugosarenn

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yxaitaTl

cHcTeUe,

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I,r3

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BJrreTct

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MapKepoM

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rleHrpe.

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nocuorcHrrf,

nrapxep),

noKa

r,rHAHKaTop

He

OKa)KETC'

HA

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MapKepe

JIHH3bI,

a

3aTeM

HrDKMr,rre

Accept

(npnnmr),

qro6rr

rrpoAonxr.rrb

npoqecc.

3ra

rnonra

rIooqepeAHo

nepe6npaer

cnncoK

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Cancel

(ornrena),

qro6rr

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ue

pa6overo

npoqecca,

ecnu

r,rH,qrrKaTop

He

oK&tblBaeTct

Ha

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JII'H3bI.

HIAhbott

Abbott

Medical

Apruryn

ARTRU60

0022053

Ilpocmorp

sanuceft

OKT

lfpocrvrorp

c

coBMerqeHreM

c

anrrrorpaQueft

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IIpnqI|Hbr

Cnoco6u

ycTpaHeHHs

OKT

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gneMenTbr

pacrrrf,perrnoro

trpeAcraBJrenns

ACR

Coobuenue:

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OCT

Frame

Indicatou

(uer

nHgurcaropa

KaApa

oKT).

Orcyrcrnyer

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OKT

(OFI).I,In4uxarop

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rroJroxeHr{e

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OKT

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CHI{MKE

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x4gpax,

He

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Medical

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00220

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Advanced

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co3AaTb

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Advanced

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Lumen

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co-registration

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c

aHrnorpa$nefi).

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Abbott

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c

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Medical

Apruryn

ARTRU60

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Wizard

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oncnopra)

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puc.

8-2).

2.

3.

Pucynor

8-2.

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Alternate

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ID

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Define

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Il-[errcHure

System

File

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Export Wizard

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grcnopr

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Export

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Export Wizard

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Export

Wizard

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Il{emHurc

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Export

Destination

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ercnopra).

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Abbott Medical

Aprr.rnyr ARTRU60

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2.

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qro6u

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SOP

Common

(o6qufi

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Multi-framel

1uro.o*a4pomrft

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Calibration

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Cinel

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SC

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Creation

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Offset

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Time

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Device Software

Version

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Burned

In Annotation

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Ha

AHcK

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Increment Pointer

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l.

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Multi-frame.

ffiAhbott

Abbott

Medical

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Select

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Database

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3.

Bn6epure

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4.

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Database

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Select

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o6racrr

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cncreue)

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New Disc

Request

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AHGK).

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Abbott

Medical

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n

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ueuro

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e

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u nu6epure

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na).

2.

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4aHHrrx),

qro6u

orKphrrr

MeHro

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4.

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Delete

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floqsurcx

coo6uleHne

c

npeAJroxeHueM [oATBepAr,rrb

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Figure

8-8:

flpegynpexAeHue

o6

yganeuuu

Haxuute

Yes

(ga),

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eru

rfaftln,

ulu

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MeHro

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ganHux).

5.

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Abbott Medical

Apruxyn

ARTRU60

0022053

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The

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stop the transfer.

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Cancel

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None of

the selected

files

will

fit

on the disc.

Please

insert

a

different

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or

click

Cancel

to

stop

the transfer.

(Ha

aucrc

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-a

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KHonKy

Cancel

(orveHa),

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nepeAaqy

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DVD-4ucrce

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Some

files

did not

fit

on

the

disc.

Please

insert

another

writable

CD/DVD

to continue

the transfer, or

click

Cancel

to

stop the transfer.

(Heroropue

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rroMecrr{JrHcb

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KHonKy

Cancel

(ornaeua),

qro6u

ocrauonuru

ee.)

Cancelling

the

transfer may

damage the disc

and

render

previously

written

files

unreadable.

Are

you

sure

you

want

to

cancel the

transfer?

(Orrraena

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ror

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An

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volume

name was

specified.

(Yrasano

He.4o[ycTI{MOe

HMt

rorraa.)

Transfer

failed.

the

destination

disk

is

full.

(Orupr6na

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Yes

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Proximal

Frames

(qncralrnux

n

npoKcrrManbH

brx KaApax),

a

rarxe

oro6paxaeurx

snaqenuft nporleHTa

creHo3a

sa

MLA

Frame

(paune

MLA).

llo

yuou.rauurc

ycraHoBJreHo

3HaqeHue

None

(ner)

lns

Distal

and

Proximal

X'rames

(4ncra;rsnue

n

rrpoKcrrManbHrle

r€Apbr)

u

Automatic

(anrouaru.reucu)

anq

MLA

frame

(panrna

MLA).

Pacnpunarouluecr

MeHro

Distal

and

Proximal

Frames

(4ucra;rrnrre

H

rrpoKcrrMaJrbHbte

Kaqprr)

u

MLA

X'rame

(parvrna

MLA)

no3BoJrrror

uu6paru

cJreAyroque

3HaqeHur:

None

(Her)

-

"HaueHHt

%AS

n

%DS

He

oro6paxarorcx.

%AS

-

%AS

oro6paxaercr

BcerAa,

He3aBr{cr{Mo

or

ycraHoBJreHHblx

eAuHr{rI

npo$um

[pocBera

(nlorqa4t

unu

4uarr,rerp).

%DS

-

%DS

oro6paxaercr

BcerAa,

HesaBr{cr,rMo

or

ycraHoBJreHHbrx

eAuHr{rI

npoQul.r

npocBera

(nloulagr

unu

Ar,raMerp.).

%AS

and

%DS

(%AS

u

%DS)

-

oro6paxarorcr

3HaareHut

%AS u %DS.

Automatic

(baseld

on

Units)

(AnrorraaruuecKr,r,

Ha ocHoBaHlrr,r

e4r.ruuq)

-

oro6paxaercr

3HaqeHpre

%AS unu

ToDS

e

cooTBeTcTBI,IU

C

yCTaHOBJreHHbIMr,r

eAr,rHr,IrIaMr,I

npO$nlr

rlpocBera

(nlou1a4u

ulra

4uanrerp).

Lumen

Profile

Units

(egunnqu

npoQnln

npocuera)

YcraHosxa

eAur{rirl

llctroJrb3yeMbrx

B

npeAcraBJreHrrr{

Lumen

Profi

le

(npoQunr

npocnera).,{ocrynuue

BapnaHrrr:

Mean

Diameter

(mm) (cpegnnfi

4nauerp,

MM)

u

Area

(--2)

(nroqagr,

rvrmz).

flo

yMoriraHr,rrc

[c[oJrL3yercr

3HaqeHr4e

Mean

Diameter

(cpe4nnft

4narvrerp).

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urueueHzs

groft

nacrpofi

xra

rpe6yercr

roArBepxAeHr{e.

mAhbott

Abbott

Medical

Aprznyn

ARTRU60

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rro nHrepQeft

cy

noJrb3oBareJrfl

MeHrc

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-

Measurements>

(Hacrpofira

-

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(nacrpof

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-

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orher

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i

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tuftlf|ait{ilt!

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-

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-

uruepeuur)

Ta6nr.rqa

10-14.

flapauerpu

MeHlo

<Setup

-

Measurements> (nacrpofirca

-

usruepeHur)

i_

Mo6ulrsas

cncreMa

OPTISTM

I4ucrpyrqr.lr

no

rpnMeHeH

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Pen

Color

(qner

nepa)

Cinucox

qBeroB,

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pac.reroa.

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HcnoJlb3yeM

sit

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Line

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Cnucorc sHaqeHuft

ToJrrrIItHbr

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uoryr

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pacqeroB.

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yMoJrqaH

I

pt

(1

nr).

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Point

Size

(parnrep

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rovxn)

Cuncor

pa3MepoB

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uoryr

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no

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(cpeaunfi).

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tr--H

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I0-27

(CnpasoqHuK

no

nnrepSeft

cy

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-

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(uacrpofira

-

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/ nagnncu)

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/

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Print

Room

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Area

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Stenosis:

%AS

Percent Diameter Stenosis

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llapauerpu

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(nacrpofixa

-

H3MepeHur

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uagnncu,

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6yAer

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Labels

(na4nncn

I

nlmonHeHuu

yK.a3aHHoro

tuna

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uo

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|

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(nacrpoftxa

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neuarr)

Mexp

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(nacrpoiKa

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10-15.

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(Hacrpofixa

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.iAcquisition

i

i

other

i

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Database

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USB

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grou

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(Add>

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Haxlvrurre,

qro6u

orKpbrrb

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orcuo

Add

Room

(Ao6a

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Add

Room

(4o6annrr

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uro6rr

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crryrcoK

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ffi

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Medical

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cy

rroJrb3oBareJrr

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<Setup

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Room

Managen

(nacrpoftna

-

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norueuleHnfi)

Ta6nr.rqa

10-17.

Meurc

<Setup

-

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Manager

Settings>

(Hacr:pofira

-

rapaMerpbr

Aucnerrrepa

rroMerrleHrr

fi)

(npod

onuceuue)

V6eAurccr

qro

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r,rHcrpyKlll{tx

no

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KoMrtreKr

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orcne

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(o6rqple

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o

naqlreHTe)

nnra n

MeHro

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Patienb

(eu6op

naqnerna),

HaxMr4re KHonKy

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(rvreuro).

Bu6epure

uyHKr

MeHro

Setup

(nacrpofirca).

l.

2.

Mo6uruHas

crrcreMa

OPTISTM

Hncrpyrqrar

no

npnMeHeHnro

Ilo;re

<<Tableside

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(6orcoeofi

nyJrbr

ynpan.nennr)

B

sror\,I

rroJre

nepequcrrlorcs

6ononrre

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(TSC),

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rrlo6ulruoft

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[o.ne

<<Room>>

(noueqeuue)

B

grolvr

floJre

nepeqr{cJleHBr

IroMeIrIeHIIfl,

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(6norc

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srona

nore

nepequcJlf,lorcr

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OPTISTM.

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(Edih>

(pegarcrnponarr)

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qro6u

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n

none

Room Manager

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nonreqennft).

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(1qa.nnrr)

Bu6epure

6nor

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r,r

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gry

KHonKy,

qro6rr

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H3

cnr,rcKa

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floJre

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Manager

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l0-_?,1

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cy

noJrb3oBareJrfl

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<Setup

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Managen

(nacrpofina

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nouerqennfi)

4.

Il-[erruure

Room

Manager

(gucner.rep

noMerrleHufi).

Orrcpoercr

oKHo

Room

Manager

(gucner.rep

noueuleuuft).

ro

Acquisition

i

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<Setup

-

Room

Managen

(nacrpoftna

-

Arcnerqep

noueqennfi)

5.

Haxuure

KHoIIKy

Add

(ao6anntr).

Otrpoercx

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onno

Add

Room

(4o6anurr

noueqeHue).

Pncyuor

10-18.

[ualoronoe

oKHo

<A.dd

Room>

(4o6anuu

noueqeuue)

Bne4ure

3HaqeHnr

B

noJrr

Room Name

(Hasnanue

noMerqeH[n)

u

Room

Number

(nouep

roMerrleHun),

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uero

nrr6epr,rre

HyxHbrft

6nor

Wi-BoxrM

(no

ero

cepuftnol,ry

norraepy)

r.rr

cnlrcxa

Devices

(ycrpoftcrna).

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Horrlep

[pr,rBeAeH

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nepeAHefi

nanem

6nora Wi-BoxrM.

IIPI{METIAHIIE.

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npoBepbre

cepr,rfi

Hufi

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6nora Wi-BoxrM.

llore

Devices

(ycrpoficraa)

coAepxlrr

crucoK

i,e"ilTH::H:ffi'1#:#:T,iT:,#ff

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c

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AaHHoM

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(ycrpoft

crna).

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nyJrbr

ynpaBJreHrrr,

HaxMr.rre

KHonr(y

Add

(ao6anulr)

B

pa:lAeJre

Tableside

Controller

(6ononofi

rynbr

ynpaBJreHur)

4ualoronoro

oxsa

Add

Room

(qobanurr

[oMeuleHfle).

Orrpoercr

Ar.raJroroBoe

oKHo

Devicer

(ycrpoftcrno).

6.

7.

Mo6uruHar

cucreMa

OPTISTM

Hncrpyrcqnfl

no

npr.rMeHeHnro

@T

g$

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no

uHrep{eft

cy norbsoBareJrfl

Menn

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(nacrpofina

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Arcnerqep

noueqexnft)

8.

9.

Pucynor

10-19.

,{ualoronoe

oKHo

<Add Device>

(4o6anurr

ycrpoficrno)

Bu6epure

uyxuuft

nynsr

r.r3

crucKa

Detected

Controllers

(o6HapyxeHHbre

nyJrbrbt

yrrpaBJreHur)

n

Haxuure

Add

(go6annru).

Brr6pannnft

6orosoft

rryJrEr

ynpaBJreHr,rr

6y4er

go6aeren,

u

orKpoercr

AlraJroroBoe

oKHo

Add

Room

(4o6anurr

noueqeHne).

Haxnanre

KHonr(y

OK.

Teuepr

Ao6asreHHoe

noMerqeHue

oro6paxaercr

B oKHe

Room

Manager

(gucnerrep

noMeuenrfi)

(cu.

puc.

10-20

Ha

crp.

10-35).

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no

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cy

noJrb3oBare.rr

jfl

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i

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r

DICOM

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roJrbKo

n

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cnpaBoqHoft

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u

He

npeAHa3HaqeHbr

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llcnoJrb3oBaH||f

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uu$opuaqur,r

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Ha

crp.

3-6.

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B

cncreMy

cBeAeHr,rt

o

[aqpreHTe

u nrr6epure ux

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cnyuae

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naqreHra

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MeHro

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Patient

(go6annu,

HoBono

naqnenra)

HaxMr,rre

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FFR

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u

npoAoJrxr.rre

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s

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uesro

Select

Patient

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r,rMr

narlaeHra.

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MeHn

Patient Summary

(cno4uan

un$opmaq[fl

o

naqrenre)

4rtr

coorBercrByroqero

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(prac.

3-3

na

crp.

3-4).

B ueHp

Patient

Summary

(cno4Han

nHQoprvraquq

o

narluenrre)

uaxunre

KHorKy

New

FFR Recording

(nonar

3anncb

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@

INSTRUCTIONS

FOR

USE.

ENGLISH

DESCRIPTION

Tho

Dragonffyil

OPTISn

lmgihg

Catheter

consisb

of

two

mln

ass€rbl6:

the @th8t€r

body

and

the

internal rotalino

fiber oDlic imadino

core. Ihe

@thet€r

has an inoertable

hnoth

of

1

35

m

wtth

a

diamlor

of

2.7

F..lt

is a

radd{ichirEo

(

FX)

dssign

wih a'rinlrall'tip.

hafrng

20 mm

of

guldo

wire engag€ment

l€ngth. The catheter

has a

hydfophllc

coatjng and

i6

d6igned

for

compatitility

wilh

0.014'

steerabl€

guide

wircs

us6d dudng coronary

intory€ntional

procedures.

Proxlmlto

tho

riliEllliD

is the

i|wiro

aroa. Dudno imaoe

aduisil,on

ths

fber

oDlic core of

the

Dragonf,y

OPTTS

lmgini,

Catheter

r-otiies and is

autlomtT€lly

iotracted

within

th€i

@thsterlo

obbin

a

360'lmg€

of the adery and obtaln a conlinuous

pulback

img€

of an

arterialsegmnt,

Thers

arelhr€s

radiopaque

m|ke6.

The

msl

distalmrk€r,

tho tip

mrker,

is

4 mm

proximaltothe

tiD

oflhe

€th€ter

and is

afixed

to lh6 sheath.

The

l€ns

mafter

is 2 mm

proxlmal

to th6

lons.

Th€

mst

Droximl

mrk€r

is

hcatod

50

m

Droximlto

th€

leN

markar and

is

used to

hob dl8timuish

tho

lniaging

reglon. Th6

lens

and

prorlmal

nnrkeF

are

afixed

directtto

the lmaglng

cq6

and

wil

mve

with

pullback

wfiile the tip

rorkerwill remin

stalionary.

The

imglng

cor€ can

abo

bs 6een

underftror6copy.

A

her lifling

on

tie sidrem

at

the

proximl

end of th€

€0rot€r

facilitat€s

puEing

lho @nhal

cath6t6r

lumn

wilh

1

00% contrast

mdia

prior

to u6e. A

3

rd

Byringe ls roquirod to

p€rfom

@theter

purg€.

Th€

€thoter

purge

mst

b€

p€rformd

Fiorto

imging,

The 3

rnl

sydnge should

bs

bn

attached to the sklearm

to

alow

rep€aled

purglng

throughouttho

imglng

plocodure

and

minla-n

a

static

prgsur€

to

ptevenl

backnow.

The

Dragmfiy

OPTIS

lrogtng

Cathotor

connecG

lo

lho

OOT

lmging

Systemihrough

th€

Ddve-

mtor

and

OpflcalControl€r

(DOC).

Al fb€roptc

rotatlon and

tEnslalional

puxbackis

ddven

bythe

DOC and

occu6 imid6 lhs

calhgt€r-

Refer also

to

Figure

1

.

INDICATIONS

FOR

USE

Ths Dragmfly

OPTIS

lmging

Cathetgr

and OCT

lmging

Systsm

are Intondod:

1.

Forqualtativ€andquantitalive€valualionofvasdlarmrphologylnthecoronaryaftodos

2.

As an adjunc{ to conv€ntional

angiographic

procedur€

to

proMdo

an

lmgo ofve$d

furun

and

waH

structurG

3.

Fortholmgingotcoronaryart€rlesardisindicatedinpaliontswhoare@ndidatesfor

tEnsluninal

intery€ntional

Drocedure.

CONTR,AINDICATIONS

Use

ofthe DEgoniy

OPTIS

lmging

Cathetor

is

contEindicated

wher€ introduction

of any

€thet€r

wouH consttut€

a

thrsat to

Fti€nt

safety.

ContraiNl6tlons

incfude:

.

Badoremia

or seDsis

.

Mejorcoagulationsystomabnomalilies

.

Patients

disqualified

for

GABG

surgery

.

Patienls

disouelifigd

for PTCA

.

Ssvsrs homodynamic insbbility orshock

.

Pati€nts

diagnoied with

coronary

adery

3pasm

.

Total

occlusion

.

Largsthrombus

.

Acds

r€nal

lailure

WARNINGS

AND

PRECAUTIO'NS

.

Slore al

edionlt6mp6r6tur6

in € dry location

od

otdirect sunlight.

.

Ensursths

calhotor b at roomtemporature

(10'C

lo 32'C)

bofore

uss.

.

This

devics

is

sl6rilE€d

by €thyl€no

oxid€

and

is

inl€nded

forone lim€

use

only.

Non-pyrog6nic.

Dq

not

us6

ifh6

packaoe

Is

oponed

or damao6d.

Do

not r6us6

or

r€4tedltse.

'

Appropilate anlicoagulantand

vasodilatorth6rapy

must

b€ us6d during

the

prcc€du16

a6 noeded.

.

obse Ne

aI advanc€runt

and

mvemnt

of

lh6 Dragoniy oPTIS

lmaglng

cathetor

u

nd6r

flu

oro6copy.

Always

a&snca

and

withdraw

the

cathel€rslowly.

Fallurc

to

ob36ru€

dovice

mvement

iuoroscopically

my

r€sul

in

vessel

Injury

or devic€

daMgs.

To

assure

proper placementdo

not

move

lhe

guld€

wirs

afrerh€

Dragonfy OPTIS lmaging Catheter

is in

plac6.

.

lf resislancs

is

ncounl€red

during

advancement

o r

withd

rcml

of

h€

Dragonfiy

OPTIS

lmegin

g

Catheter,

6top

manipulation

and

ovaluale

!nderfuoroscopy. lfths

cause

ofr6sistance

cannot

b€

dotormined

or

nttigated,

carefuf,y

r€mv€

tho calhot6rfromthe

pati€nt.

.

Use

h6

minimum

llush rale

end

vduft

rsqulod

to

imgo

th6 dosked

enatomy.

'

Afisr

u6e,

this

producl

roy

be

s

pot€ntiel

bioh&1ard.

Handl6

6nd

dispose of

in

accordancewilh

acc€ptod

mdical

pr€dice

and appllcablo

las

and

r€gulatons.

.

The

in6tructions

for use €re

recychble. Dispose

ol

all

packaging

materials

appropiately.

.

Referlo

conhast

redia

Insrudions

for

u$e

fot

ilengralwamings

and

Ple€ulions

rolating

to contrast

redE,

.

This

package

conlains

a

St€dle single

Use Onl)' D€vice.

Any attemPtto

rHse

or

re€le.ilize

my

compromise

ths structlral

integdty

ofthis

devic6.

.

Do not romove

the

DBgonfy

OPTIS

lroging cilth6torfiomlhe

DOC

untilthe

procedu.e

is

complgle

lo

avoid

B

polentiel

st6rility

br€ach.

.

At6€ys verry

thalthe

catheter

has

been

Froperly

prepEred

priorto

insening

into

vssculaturc.

COMPLICATIONS

The following

cor$ications

my

occu.

as a consequenco

of

intavascularimging:

.

coronary

art€ry

spasm

'

Unstable

angina

.

All6rgic reaclion

to tho

conlmst

mdia

.

Adeial

dlssscton,

injury

or

podoration

.

Thrombus

formton,

abrupt

closure,

ortotal

occlusion

.

Abnormal

hean

arfrythdas

'

Embolism

.

Acule myocardial

inlarction

.

D€alh

Figurs

1, Drsgonfly

OPTIS

lmging

Catheter

(nofinalreasuremnb

provldod)

\.

cath6t6r

Purge

Pofr

l.

Side

Am

Luer

i

Lens

D.

Insedable

Length

E.

Dbtal Marker

Renrcwbl€

uusl

cap

conn6dot

HUD

/|. Purge

Exil

CONTENTS

.

One Dmgonny

OPTIS

lmgino

Cathetor

MATERIALS

AND

EOUIPMENT

.

ILUMIENil OPTISil

mobilo

system

or

OPTISil

Integ6led

System,

ifapprov6d

forharket

rel€as6,

using

ro6{are

release

E.1 or higher

only and DOC.

.

ILUMIENil

mobile

systom, ifapproved

for

me*et

release,

using

soffwere r€l€ase

O.2

orhigher

only

and

Dm.

.

St6ril€

DOC cover

.

3

ml

purge

syrlnge

.

Conkast

m6dia

indic6t6d

for

coronary

use, for

purging

and

llush

.

0.014'gllde

wite

{withtorque

devlce

ifdesired)

'

Guide

ethetsr

(6

Frsnch, 0.070'

lO or

largei

wilh

no 6ide hol€s)

.

Shoath

introduc€r(lo

mtch

guide

catheter)

,

HemdaticYddaptgr/Cohneclor

.

H6padnL€d,

physlologlc

salins soldion,

forhydrophilic

cath€ter

proparation

.

Ini€clion

syringe

or

autoroted

power

inFctorpump

(capablo

otinj€ding

3.G4.0

musec

for a

toial

of

14

nl

In 3.5 seconds)

PREPARATION

FOR USE

Referto

the OCT

lffiglng

Sy6tem

Instudions

for Us6 for instrumont

preparalion.

Dragonfly

OPnS lmaging

Catheter

Prsparation

1.

Cerotulty

r€mv6

th6

€thel€r fom

the lEop.

2.

Molstenth6disl,al6egrentof€theterfiom0ptoappfoximtelyl00cmproximlly,uslng

hoparinlzed

salne

only.

Note: Moi$toning

en'ures

optimal

Niomancs

of

hydrcphilic

@ating.

Use

heqinEed

saline

only.

3,

Purgotholumnofth€@thelorwilhl000/6conlrastmdiatoromv6allairfrom@th€t6l

Llso

a

3

rl

sydnge

and

purgo

unlil

95

drop6 exil

fiom

the

plrg€

€xlt, Oo not

removsthls

iydng€ fromlhe

cathoter

purge pod.

Connecting tfie

Dragonny

OPnS

lmaging

Calheter to

the

DOC

CAUTIONS:

.

Prot.cttfi. dpo.cd

conn€lorf.om

lluld.

d

dl

llm.,

Fluld

@nt.ctcrn dl..blc

the

DOC.nd

r{u[c

.cnFc.

R€ferto Figure2 andtothe

OCT lmaging

Systemlnshucdons forUse forinstrucliom

on connecting

ths @thet{;rto

tho

Dl)C

and

promr

ule-of

frhe

$€dt€

OOC Cov6r,

INSTRUCTIOI{S

FOR

USE

cAuTtoNs:

'

En!u.6

frdth€ cdfitrr

l.

not

ddlng

whllo

Scd.dbopcrdor

13loadlng,In!€nlng,

or

Ftruonlng

hG

cdhftr.

.

Enaur€thd

no

dr b

hlrodud

htoth.

ry.tsmduflnglh.

lm.Olng

c.thd.r

Iniortlon,

.

ltonibr

lhc OCI lm.ge tor Indicdlon!

o,

crth*r

oplicd

tClure,

It

oplkal

t

llure

l.

rurpsdd,

EmveSc cff.t.r

and

rcpht[h

a

n.wonc.

Drsgonfly

OPTIS

lmaging

Catheter

Insertion

and Placement

Back-load

the Oragonfy

OPTIS

lmging

Catheler's rapid4xchange

hren

ontolhe

guidewir6

and

iFertvia

guide

€th6lor.

Under

lluofoscofic

guldanco,

advanca tho

@thetorso thatth€

lens

and

proximl

mrkeE

oncompass

tho

d6ired iroging

region. For

ploriml

imgino,

when il i6

posslbl€

that the

proxlml

marker

my

not

exit the

gukle

sheath,

position

lhe

lens

mft€rjusl

distal to th€ dosired

pu[back

inilialion

Doint.

Note: Therc

arc

three

radiopaque matuers. The

nost

distal

marker

the

tip

natuer. is

4

mm

Drcxinal

to

the

tip

ot

the

catheter

and

is

affrxed to

the sheath.

The

lens marl<ei

is

2

mn

prcximel

b

the

lens and

indicates

the

location being

imaded.

fhe

Drcximal

nafuer

is located 50

nn

Droximal

to the

lens

matker

andis

used

to

help

distinguish

the

inaging

wion.

Enouro th€

guk

e calh€tor

ls ori€nted to

pref€r€ntalv

dlr€ct

contra6tfowlo

lh€ target

l€sion,

and

verlty

angiographically

lhat

adoqual€

llow of@ntrast

is deliv€red

to

the

lesion.

In

Vivo

lmaging

Ref€rto

tho OCT

lmglng

Sysl€m

Instructions

for

Uie

to

acquite

pationt

lmg€s.

Note: After rcmoving

tle

catheter

hom

the

Wtient,

purw

the

Drcgonfly

OPTIS

lnaaina

Catheter

until

?5

droas

of

mnt'a'st media

exit

lton

the

purqe

exit.

Keep

the-purye

syinge

connectbd throughout

the

procedure

Wp

th:e

distal

s*tion

with

heMtinized

saline to

remove extemal

blood

and

conltast

media.

Kep

the

Drugonfly

oPTls lnaging

catheter

conn&ted

to the

Doc

th

rcughoLtt

the

procedu

rc.

Figure 2,

lroging

Cathst€r

Conn€dlon

to DOC

tE6-*s""n/M;Hrt-l

lB:6:C;6;6MDn

Pd

-l

lc,

Indicalorlight

I

I

D. Unload

gutton

I

EI

-GDi

"----Tt

u.

€b

R

f

rerl

fas

l

[I!-r-€u--r+t-4{;*+

-

|

k_$cm

k-

rso*-

cil+JiJl

i$lJ

Dragonfy

OPTIS

,ta.-$i

.

jq+llJ

rlJ.ll

lLr,6ryril!j

cru,er&si.d.srSystem

or

OPT|Sn

d!

riddrtLUMIENil

OPT|Sn

.s

,DOC

y'lJEsLl

ri

E.1

aril

rlL!

rh$

EsLiri

D.2cxJirrrsl.|sJq,jrr"!r;cjJ,ere;,dJ.-Xllul\4lENil.ll

.tlOC

.ur

et!

DOC,b

JtlrL3r{!&

6rdl1aH,6.

Ul

ltjslld

JueJ

(/Vl.Ji

rlj.F

JL{i

e)

L-}

0.014

+.

Jj

&

(ir.x+

.:s

Ja

,JFl

rl

L'

O.O7O

dF

Wj

6)

+j

.JAd

(9.

JnltJU

ii.[.)

JH'

\i

d-!

iJv

rJ-r4Y

ds

+_i!-ll

6JMt

JsY

.Jlqxllr

CL

ra.

_,lr+

vJ

ue

(!l3.5

gi

AIL

14

vI+)

'lltJlrll

3.0-4.0

jL

slg

r)i4

lqililliJtrliJlila

riJill&

dla:-$

Jra.ll

.

j\ill

+d

cLJl/

c.L.

JJ.ill

OCT

,J"illrtl!

Jl&I

4b

ql)C.Jl

Dragonfly

OPTIS

1.".r.ii

6JLd.,r'x

.re(!rltO.6JLill€Jii

.1

.J.ii

djslrr

c!".

sal.

drL-

.r&L

,e

I

o0

Jrr.

J

JJUr

&

lrl-i!

sru

erlilr

c+-ft

F

.2

.i'\$u

d'A

sr\

\

djLA

lii

p$\

:{+

jLl\'{i.:}"\r

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Str@ljku

lz

prlKjulka

za

66,Conl6

kaietera.

Spajan

e

Dragonlly

OPTIS katetera za snimanjle na

DOC

OPREZ:

.

klolcnl

prildjuaak

uvlick

mr.

blli

zratl6cn od

prodor.

tckudlns,

KonhK

3

t

luclnom

frr.

*.kdvlr.t

DOC

I

t.hffFvdl ..wLlr.nF.

Za upute

o

torc

kako

spofli

katoior

na DOC

I

kako

ispEvno

korirtlti

stedlni

potdopao

DOC€,

pogledaite

SIku

2

|

Upute

a

uporabu

OCT

sstava

za

snimnje.

UPUTE

ZA

UPORABU

OPREZT

.

UvFrlb

a6

d.

rc

k.&r

n€ ok.ce

c za

v.lrcru

dok

3tcrllnl

rukov.t

ll

navodl,

um6r

lll

poslavlje

kffir,

.

uvj.rfb

ed.

raviu€m

unElrnlr kald.re

r.3nlmhj.

u.ufiv

n|Jc

ute

znk.

.

Prcghd.Jtc

OcT

lllku

rrdl

zn.kov.

optlckog

kv.r.

kddcr..

Ako

tc

aumnla

ns

optickl |ry.r,

tsvdh

kddar lzamlrnfrc

ga

novlm.

Umetanje

I

pozicioniranje

Dragontly

OPTIS katetera

za

snimanje

Navedito

bzolzmjenJiv

turen

Dragonfry

OPTS

k6t6tera

za

simnj€

na

vodllcu

i

umstnito

pomdu

vodoc€g katot6E.

Kori6tedlfuoroskodlu.

plsslEile

l€lelertako

d6 objekliv

i

prok6imlnimrkeri

obuhvato

Z€lj€no

podruEjs

snironja.

Za

proksimlno

snlmnj€,

kada

j€

nFgur:€

da

proksimlni

md(er

nede iza6i

iz ovojnice

vdlXc€,

poslavlto

mrker

objoKiva

upravo

di$talrro u odnosu

na

Zeljenu to6ku

poa€tka

povladonja,

Nawnena:

Postoje

ti

mat*era

nepropusna

za

rcndgenske

zrake.

Najudaljenijil market,

nafuer

vha,

je

4

mn

pmksimalno

vrhu katetera

i

Ditv|$/x4n ie na ovoinicu.

Maftet

obiehiva

ie 2

mm

DrcRsimalno

u

odnosu

ia

obieKiv

i

oznataia

niesto

koie

sd

snima'.

Prcksiialni maftet

nalazi se

50

nin

prcksinalno

u

odnosu

n6 marker

objektiva

i

koisti se

kao

ponoc

pi

rczl i4ovanju

podruCja

sn i m

anja.

Uvjerite

se da

j6

vodedi

kat€ter

okenuttako

da

po

mogu6n6ti

Frted

tijek kont asthog sredstva

prero

cilinoj

lezil

te

provj€rit€

je

li.

anglograbld

glodano,

u

l€ziju

isporuaen

odgovaEju6i

dotok

kontrastnog

srgdstva.

Snimrnje

in Yivo

Pogledajto

Upde

za

uporabu

OCTsustava

za

snlmnjo

da Uste

dotili slko

pacij€nta.

Nawmena:

Nakon

vadenk

katetera

iz

paciienta,

odistite

Dngonfly

OPTIS

katetarza

snilnanje

sve

dok

y5

kapi kontrastnog stedstva

ne izadu

iz

izlaza

za

Ci56enje.

Strcalika

za ciscenje

tEba

biti

s4jena

za vnleme

tnjanja

ove

nrtrctfitrE Ohifite

.tisfelni .lio

heMinizihnom

frziolo4kom

otoDinom

kako

procedure.

Obisite

distahi dio

hepainiziranom

frziolo'kom

otoptnon

kaj

biste

ulilonili

vanjsku

RN

i

kontrastno srcdstvo.

Aagonfly

OPTIS kateter

za sninanje

treba biti srp,kn

na DOC za wijeme trajania ovog

postupka.

euvajte

na

sobnojt€mporatui

i

na

suhm

mj6slu,

podalje

od

izEvn€

sunc6ve

svjetlosti.

Wjerite

s6 da

j6

prij6

upombe

kateter

na sobnoj

temp€raturj

{10'c

do

32'c).

Terepija odgovaraju6im antikoaguhnsom

i

vaodilatatororn

mm

se,

prero

potrebi,

pdd{€niivati.

Fluoroskopijom

prohatBjte

6va

plasiEnja

i

kretanja Dragonfly

OPTIS

kat€t6raza

snimanje. Uviiek

polako

plasirajte

i izvlaaite

kat6ter.

Ako

ne

budete

lluoroskopski

promatal

krstanje

urdaja,

to

bi

mglo

izdall@ljede

Zlls ili

osletf,i

urdaj.

Da

bisl€ osigurali isprawo

postavljanj€,

nomoile

pr€mj6ata{

vodilcu

nakon

atojs

Dragonfry

OPTIS kat6t6rza

snlmnje

l6gao

na

nieslo.

Ako za

v.ijeme

plashanja

lli

povlaa€nja

Dragoniy oPTIS

katotera

za

sniffinj6

naidet€

na

oltol,

prestanit€

s

rukovanj€m

i

€wftiirajt€

pom6u

fluoroskoplje. Ako

ss

urok

otpora

ne moZ€

uslanovili

ili

ublariti,

p6tljtuo

Wadfre E

pacijonb

kat6ter.

Kodsme

minlmlnu buinu ivolumn

ispiranja

potebneza

snitunje

26lj6ne

analomije.

Nakon

uporebe

ovaj

proi4od

md€

bfri

potencijalni

bioloski

opasan

otpad.

Rukujte

niire

i

odlo:its

ga

u 6kladu

s

prihvac€nom

medicin6kom

prak6omte

svim

valeclm

zskonim

i

propisima.

Updeza

uporeb!

mgu

B€

r6ciklirati.

OdloZite

sEv

mal€djalza

pekimnje

na

odgovaEju6i

nEain.

Za op6a

updoronja

i mjere

oprea

u

vdi

kontraslnog

6r€dstoa

pogledajt€

Uput€

za uporabu

kontashq

sr€dswa,

Ovo

pskiEnje

6adrrl

5t€frlhi

ur€dajzajednokratru

upoBbu.

Bllo kakav

pokuisj

ponovne

uPo6bo

ili

ponovne

stgrlleaclj€

moZe

0grozili

shukturalni integnet ovog

uredaja.

Nomojte

vaditi Dragonlly OPTIS

kat6l6rza

snimanje

iz DOC€ svs

dok so

postuPak

ne

zauii

kako

bists tsbjeg!

potencij6'no

naru5avanje

sl6dlnosli.

Uvijsk

provjoriteje

li

kateter

ispravno

pilprsn{j€r

pdj€

n6go

ga

umetn€l€

u

kNozilni

sustav.

KOMPLIKACIJE

sledee€

konplkacij€

mogu naslutrili

kao

posljedi@

intravaskularnog

6nimnja

.

Spdmi

koroname

anodje

.

Nestebiln6

angina

.

Alorgijska

reakcua

na

kontrastno

sredsFo

.

Disokcija,

ozljeda

ili

perfoBcij6

adodj6

.

Swaranj€ ugruska, naglozatuaEnjo

ila

polpuna

oHuta

.

Abnormlna

srdana

admia

.

Emboliia

.

Akdni

infarK

miokarda

.

Smd

sljka

1.

Dragoniy

oPTls

kateter za

snironje

(dana

su

norinalna

mjorenja)

Slka

2.

Kateterza

6nimnje

spojen

na DOC

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prakljuab

z€

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Duliina

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automlicky

zatahuje

dovnitl

katotru

zi

ria€kim

zlsk6nt

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o konlinu6lnlho

obraa

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afi€d6lnlho

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Jsou zdo

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Neidistdlngial

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znaika

isou

pfip€vnany

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v

pdbdhu pulhacku

Pohybovat,

zatlmo

znaaka

h

rotu zfrstan€ slaci

ondml,

Zob@zovacl

i6dto

be

sledovat

sldaskoFiclq.

Smika

Lu€r na boanl vdtvi

ha

proxim6lnlm

kohci

kat€t

u

slourl

k

prodachnutl

cenlrdhlho

lurun

katdruloo%kohlEstnll6tkou;HopladtsrovfulpFedFutittmkatstru

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msoba

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plod

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aby $e

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poslupu

zobraiwbnl

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uddel statilnl

dak brdnlcl

zpdttr6ru

toku.

Zobrazovacl

katef

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oPTIS

so

piipoiujo

I

zobrdovaclm

6y5!6ru

OCT

pl6

koneKor

ovladaa€

hnaclho

moto-ru

a

6ptky

(DOC).

Vesketd

rotac€ optic*6ho

vldkna a

posuvny

pulback

probthajl

wnht

katetru

a

jsou

fizeny

ovl€dadem

D)C.

Viz tak6

okdzek

1.

TNDTKAcE

x

pouZri

Zobrazovacl

kat€tr Dragonfry

OPTIS

a

zobrazovad

6yst6m

OCTisou

urc€ny:

1.

kekvaftativnlNakvanfilalivnlru.hodnocenlcdvntmrfologlevkorondlnfchartdriioh;

2.

jako

dopln€k

konv€nCrlho

sngiografick6ho

Wkonu

shurlcl

kzlsk6nl

obraa

hmn

a

struKur

st6ny

c6W;

3.

ke

snlr*ovent

koron6rnlch

artddl

aFou

indikov6ny

u

paclentd,

Koflisou

vhodnymj

kaNldety

na

tEnsluninilnl

Intorydcnf

Wkon.

KONTRAINDIKACE

Pouttt

zobraovaclho

sy6t6m

Dragonfry

OPTISJe konlraindikoveno

v

pllpadech,

kdy

byevedenl

katotru

pFsdstsvwalo

ohrozont

b€4dnosti

paci€nta

Mei

kontraindikace

Ff

f

:

.

bakter6mi6

n6bo

seps€;

.

z{va:nlj6l

poruchy

koagulaco;

.

pacl€nti

n6vhodnl

pro

prov6denl

CABG;

.

pacisnli

nevhodnl

pro

PTCA;

.

z6va:na

n€stabilila hsmodynarikynebo

sok;

.

pacleht

s

diagn62ou

apasru

koron6ml

a(6il€;

.

tot6lhl

oHue;

.

velkttrombus;

.

akutnl

6€lh6nl

ledvin.

vlnovAxi

l

upozonrEni

.

skladujto kat€b

pntoplotE

okolniho

prosf6dl

na

such6m

mfsta

a chr6ndny

pfed plimtm

sllneanfm

sv6tl6m.

.

Zajistale, aby

dl

katotr

Dregonfiy

OPTIS

pled poutilfm

Fokojovou

tsplotu

(10'C

lo

32

"C)

.

T€nto

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i€

st6rilzov6n elvlenoxidem

s

i€

ulem

potEo

k

jednom

pouitl

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N€podiveile.

fu-I

obal

olewen nsbo

poak@an.

NsoodMeito

oDakov.ne.

N€st€dltsuito

.

Bdh6mvtkonu

s6 must

podle

potroby

pou:ivat

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antikoagulainl

a

vasodilatacnltoEpie.

.

V€3k616

posouv6nl

a

pohyby

zobldovaclho

kal€tru

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OPTIS

sledujl€ skiaskopicky.

Katetr

ddyzavad6jt€

a

vytahujle

Pomalu.

Pokud

nsbud€te ekiskoPiclq

sledovat

pohyb

mn26 dojft

r

p6mnoni

civy

niuo

r'pogkozenf

kat6tru.

Prozajiil6nl

€pl5w6ho

umlst6nl

nepohybujte

vodiolm

dr6tem

pot6,

c6Fte

dok;naili

umlstEnl

zobraovaclho

katetru Oragonfy

oPTls

do

poiadov€n6

potony,

.

Pokud

b6h6m

posouv6nf

nebo

Wlmanfzobraovsclho

kat€1ru

Dragonfy

oPTls

pocltft€jaktkoli

odpor,pfestaii€skat6temronipulovataskiaskoPlckyziisiAtopllainuodpolu

NeEdiplli:inu

odporu

sbnovil,

odstann

nebo

zmknil,

opatm6

vyjn*b

kat6trzl6la

paci6nla.

.

Pou:ijt6

minim6ln,

pnltok

a objem

poff6bn6

kzobraenl

poradovanych analomicktch

struktur.

.

Po

pou:itl pl€dstavuj€

kat€t

potencialnl

biologi0k6

nebezpetf.

ManiPulaci

a

likvidacl

provadajte

v s;uledu

s€

schvalsntmi

l6kslskid

postuPy

a

s

Pl€hymi

zdkony

3

pledplsy.

.

N6vod

k

pouzlll

b€

recyklovat.

Likvidujte

Gechily

obalov6

materidly

vhodntmzpisobem.

.

ob€cn6 varov6nl

a

upozomsntVkajfcf

ae

kontnishl

letkyvL

navod k

pouill

kontrashl

Htl(y

.

Tento

obst

obsahuje

sbilnl

vtrobek

uraont

kjednor6zov6m

pou:ilf.

OPakovan6

Pouill

nebo

r6sterilizaco

mohou

ohrdil

shuktur6lnl

c6listuo!*

tohoto

virobku

'

Noodsbeiujt6

katelr Dragonfy

OPTIS

z

ovladailo

DOC,

dokud

nobud€

Wkon

dokonlgny'

dbysto

neporuSili

stefililu.

.

PIed

zev6denim

do

c*vnlho

syst6mu

katelrv:dy

zkonfolujto,

zda

je

n6le:il6

Pnprav6ny

KOMPLIKACE

V

disl€dku

lntavaskulamtho

zobrazovdnl

m0Z€ dojtt k

ne$bduilclm

komdikaclm:

.

spasmus koron6mf

ad6rie;

.

ne6tabilni

angina

pedoris;

.

al6rgick6

reakce

na

kont€slnf

l6tku;

.

disekcs,

poranEnl

nebo

p€dorace

art6ils;

.

wniktombu,

akdnl

u6v6r

nebo

toulnl oklue;

.

abnorm6inl

srdeanl

srytde;

.

6mbolie;

.

akutnl

Inhft

myokardui

otf6zak

1,

Zobteovacl

kat€tr Dragonfly

OPTIS

(uvedenrt

romiry

jsou

norlh6lnt)

OBSAH

.

Jed€n

zobrdovaol

katok Dragonfy

OPTIS

ilATER6L

A

VYSIVENI

.

Mobilnl

6yst6m

lLt,MlENn

CrPTlSn

nebo

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pokudJsou

schval€ny

pro

uvedenf

na

fh,

pou€

pfi

poditl

veze

sofrwaru

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a

ot4adaie

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'

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syst6m

lLt,M

IEN

n,

pokud

je

schv6len

pb

uvedeni

na

th,

poue

Pfi

pou:ili

veze

sofrwaru

O.2 nebo

vy5al,

a

ovladate DoC.

.

Sterilnl

kryt

DOC

.

3n{

proplachowcl

{flkaaka

.

Konta6tnll6tks

indikovan6

k

pou:iliv

koronernfch

c6v6ch,

k aistenl

s

proplachov6nf

.

Vodlcl

dr6t

ovetibsti

0,356

mm

(0,014

palce)

(podle

potfeby

s

rot6torcm)

.

Vod

icl

katet

(6

Fre

nch,

witfn

I

pnl

mdr

1

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mm

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ngbo

vattl,

be

poslrann

lch

owori)

.

Sheathovt zavaded

(kotrlpEtibilnl

s

vodiclm

katefsm)

.

H€moshticky sdapl6rY

nebo

hemosletbk6

spojka

.

Hopadnizownyfyziologickt.oztokpropflpravuhydroflnlhokateku

.

Injekcnl

s$lkaaka

Bbo automticld

pumpafakov6holnjeKoru

(mu6l

byt schoPna

injikowt

rychlostl

3,9,0

n{/s

s c6lkBm 14

mlza

3,5 6ekundy}.

PR|PRAVA

K POUATI

Sprdvn6

pfipojenl

viz hAvod k

pouzitl

dodany vyrob@m

ovlCdaclch

sy5t6mt,

Piiprava

zobrazovaciho katetru

Dragonf,y

OPTIS

1.

OpEtrnE

vyjmdio

katotr z

obruae.

2.

Navlha€to

dlst{hl sogmnt

katetru

-zaendte

od hrotu a

pokladuite

proxlmCln6

cB

100 cm;

pouZlve.jte pouze

heparinizovany

ryiobgk{q,oztok.

PoznAmka:

Navlhtentm

se zaiisll

optindlnl

tunkco

hydmfrlniho

povlaku.

Pourlveite

powe

he

painizov

an,

fyziologick!

roztok.

3.

Propldchndt€

luren

kotetru

100%

konlrastnl

l6tkou,

aby se z katetru odstranil

vsechen

vzdlch.

Poutite

3nt

sdlkadku

a

proplehuit€,

dokud z

prod6chovacfhoWstupu

nounlkhe

95

kap€k. l'loodskailuJte

slllkaaku

z

proplachovaclho

podu

kaleLu.

Pfipojonl zobrazovaclho

katetru Oragonf,y

OPTS

k

ovhdall

DOC

uPozoRNENlr

.

Vtdy

chr.iit.

obn.rcny

kon.ktor

plcd

k.prln.nil,

Pll

kDil.Ku

a

k.prlln.ml

mUr€

doltl

k

Fakolcnl

a

nutnodi

swhu

ovLd.a!

Doc.

Pokvnv k Dll@ienl

katotru k

oyladau

ooc

a

6prevn6m

pouzitl

sterihlho

krytu

ooc

viz

N6vbd k

pbuzti

zobruovaclho

syst6m ocT,

obr6z€k2.

POKYNY

K POIUZT|

UPozoRNENI:

.

Z.lbtatc,

rby

E

k.t6h

pll

.lctllnlm ovlldilhl

hotItr€l

b6h€m

u.vdcnl,

vklldlnl

ncbo

mSovlnl.

.

BalEm

z.vildanf

zobr&ovaclho krt€tru

zallltat., .by

do

lyat{mu

ncvnlkl vlduch.

.

SHuh.. zd. ohrd

OCT

ncwtilul.

rhlmkv

ehlnl

oDtjckich

prukl

k.t.tru.

Malc.{l

podcihirl,

r.

dotlo

k

elhanl

optEktch

pwlt

tffi,irylniltc

k.bb.

h.hr.dt

J.J

novtn

Zavedenl

a

umlstdnl

zobrazovaclho

katetru

Dragonfly

OPT|S

zadnl

stranu

lumn

zobr4ovaclho

katefu

Dragonfty OPTIS

pro

rychlou

vym6nu

nasadlo

na

vodicl

drat

a

zasuit€

pfs

vodicl

katetl

Pod

skiaskorickvm

nav6d6nlm

posuite

kal€tr tak, abv

aaaka

dotky

a

ptoxlm6lnl

madka

ob66hly

mtadovanol

zo:bfdovanou

oblasi,

Ph

Droximdhlm

zobraov6nl,

kdy

j€

rutn6' ,e

proxirdlnl

znadka

nevFtoudh

z

vodlclho

sheathu,

umlst6t€

znadku a'tElry

bozpr6ll€dn6

distehd

k

rcradovan5mi

bodu

ah6ienf

pulbacku.

Poznemka:

Jsou

zde

fi

rcntgBnokontnstnl

zna6v

Neidis6,l'll-i5l zna6ka'

znadka

hrotu,

k

4

mm

prcxiinehe

vfti

htotu

a

h

pfipevndna

k

sheathu.

ZnaAka

CaAkv

E

umlsEna

2

mm

pmxinehd

R

Coice

a

indikuie

zobnzovanou

oblast.

Prcxfni^lnl

znacka

ie

unls6na

50

mn

prcximAlne

ke znacce

CotW

a

pouZIvA

se

R

uplesndnl

rozlisenl

zobrazovan6

oblasti

.

vodicl

katetr

rusl

b{t

oriontov6n

vo

vihodndm

sm6ru

plfm6ho

toku kontastnl

l6tky

do cllovd l6ze;

angiografclry

@6lte',

zda do

162o

nat6k6

dostatocny

prlitok

kontrastnl

b0ry.

Zobrazovenl

In

vivo

Postup

pollzenl

obraz0

pacionla

vlz

Ndvod k

pou:itl

zobrazovaclho

syst6ru

OCT.

Poznemka:

Po

wimutl

katetru z

pacienta proplechnCte

katetr

Aagonfly

OPTIS,

dokud

z-imdachovaclhd

Wstupu

nevytete

3-5

kapek.kontnstnl

Etkv.

Ptoplachoiacl

stll4a'ku

wn&hte

plipoienou po

@lou

dobu vykonu

Disld,lil

deil

otl€lto

hepainizoianfin

fyziohpicvn

to4oken,

aby

se

z vneislch

Dovrchl

odstnnila

krei a

kontastnl

l6tka.

Zobrazovacl

katetl

Uagonny

'PTIS

Nnechte

po

celou dobu

vlkonu

pllpoleny

k

DOC

Obrdz€k

2, Pnpoj€nl

zokazovaclho

katetru k ovladadl DOC

\.

[Jrtl kon6ktoru Dragonlly

B,

Spojovacl

port

kat$tru

C,

Svat€lnY

indiketor

D. Tlaafrko

Unload

(Zrulitzav€d€nt)

G

VYslup

vodElho

dr6lu

t.

tuika

LUet na

bocntvewl

H.

Co{ka

l.

znai:ka

coeky

). Ddka,

kterou

lzezasunoul

J. Proxlmahl

znacKa

:.

Dist6lhfznaaka

K-

od!{ranil€ha

Droliprechova

z,Ra

:.

Mlnikol6jniaka

-.

Ustl koneKoru

i.

Proplachovecl

WsbP

EI

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i.

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=+i:"

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ill=F="um€5+

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tl

ffi*y

BRUGSANVISNING

-

DANSK

BESKRIVELSE

DEgohf,yn

OPTISn

s@nningskat€ter

b€stAr

efto

hoved*omponentei

Sefue kaleteret

og

deh

Inlern€,

roterendo

oplisko

scanningsfber

Katot€fet

har en

iMstningElangde

pd

135

cm m€d

€n

diamter

pA

0,9'l

m

(2,7

Ch). Det er af

typ€n 'raFd-exchshge'

('RX)

md

'ninkail'4t*r$

og

har

en

guidewire

md

placedngslengde

pd

20 mm. Kaleler€t

har

hydrofl

b€bgdng

og €r b€regnot

til

atvere

kompatibelt

fiFd

0,356

m

(0,014')

gtyrbare

guidilirer,

der

anvond€stl

koronare

indgr€b.

S€nningsomrAdet

er hetop

prokslmltlor

niniEil6ddsen.

Under

tilledoptagebe

roterer den

opliske

fb€ri

Dngonny

OPTIS€6nningskateteret,

og den

bakkes

automtisktilbage

i kateteret

til at op{ago et

360'tilede

afafterien

og

iage

et

kr)nlinueilgltihagetrakningstifl€de

afet

arl€riesegrent.

Det

hartro

pntgenfaste

mtksrei

D6n

m6t

dictal€

mrkri

spldsmrkgr€n,6idder

4

m

proksimll

tor

kalele6Fidsen

og er

f@shotlilhylsteret,

Linsem*rren

6ldder 2

m

prokslmlt

tor

Ins8n,

D€n

mst

troksiml€

markrr

sldder 50

mr

Drokslmlt fot Hnsemrkrren

q

anvenres som

hielD

til at

ld€ntifaer€ 6canninogofladet.

Unse-

ci

DroksirMlmrkrrorn€

€r

bsti€t

dir€ho

De

siEdning€fi

b€ren og flytter

sig

-selsd6

ved

tilbagotidkningen,

mns

#dsmillron

s€Mobilg

lkke

flylter6ig. S6nnhg6fibro

kan ogse

s6

red

lluoroskod.

En

luor{tting

pe

t€studsen

i

d6n

proksiml€

€nde

afkatet€ret

l€t€r

udskylnlng

atdet

entrala

katet€rlumn

ired

1

00 %

konfGtri{rdel

Ind€n brug. Der skal

brug6

sn

3

n*sprgite

lil slqlning

afkalet6ret.

Kaleterol

skal

skyles,

ind€n dor

foret{6

€n

$€nning.

3

rl.€prtiten

skal

forblv€

forbundet

til

shngen

pi

slqlosludsen,

sA

skyhing

kan

gontagos

und€r

h€l€

s€nning6proc6dur€n

og opr€tholds

konstantWktil

at forhindre

tilbagelsb.

Dragonfiy

oPTIS€€nningFkateterfortindes

iil

OllT€€nnoron

via

drevmtoron

og den

oBiske

svreonhed

(DOC).

D€n

oplhk€

fibeF rolaton

og

kanslatoiske

tilbEgebekning

driv6

af

Ooc€pparalurst

og

fnder

sted

i

kateterot.

Se og6a

fig.

1.

INDIKATIONER

Dragonf,y

OPT|S6@nningskateter

og

OCT+€nnef

er beregnot

til:

1.

kvaltativ

og kvantitativ

evaluering

afkamorfolo{i

i

koronaErtoiorn€

2.

at v@r€ €t

suppl€mnttil

konventionels

sngiografisko

procoduroriil

otti

bllleder

af

arlerieluren

og

{69€truKurer

3.

s€nning

afkorohara*eder

og

erindicerottil

petienter,

som er

kandidatertiltranskminal

interyenlion.

KONTRAINDIKATIONER

Anvendebe

af Dragonfiy

OPTIS€canningskateter

er

kontftihdiceret,

ner

indforing af€t katster

vil

var€

tl

fer€ for

Mli6nt6ns

slkk€rh€d-

KontEindikationor omfat€r:

.

BaKeriefil

€116r

s6psi5

.

Sltre

anomali€r

i

koagulationssystomot

.

Patienter,somikkeMliic€r€rtilCmkperatkrn

.

Palienler,

som

ike

MlfrcererlilPTCA

'

KEftig

hamdynemlsk

instabilitot

el€r chok

.

Palienter,Somerdiagnosticorolm€dkoronaradDdespasr€

.

Total okKusion

.

Stortrode

.

Akut

nyFsvigt

ADVARSLER

OG

SIKKERHEDFO]IANSTALTNINGER

.

Opbsvaros

ttrtved

stuet€mperatur

og

ikke

i

dheK€

3ollys.

.

Srrg

for

st kslelerel

har

stuet€mpenlur

(1

0

-

32

'C)

ft

r

snvendols€.

.

D6nn e

a

nordning

6r

€t6dlis6r6t

m6d €lhyl€ noxid

og er kun b€regnet

til

6nga

ng

5bru9,

Pyrog6nf.i.

Ma

kke anv6nd€s.

hus emballsoen

er

abnst

sfl{rbeskadigot

Mi

hverken

oenanvsndes

elel

carslslilgEt

.

Relevant

antkoagulans.

og

vasodilalorbehandling skal

anvend66

undel

procsduren

efrgrbehov,

.

Obs6N6r

al

fr€mttring

og

b€vagsbe

afDragonny OPT|S-scanningskatotet€t

mbd

lluoroskopi.

Kat6ter6t

skal

altld

frrss

lang6omtfrom

og

tilbage.

Hvis

katetod€vegebsn

ikk€ ob€6ru6r€s

md

ffuorotkopi,

kan

detftre

til

kar5kad€

el€r

6kado

pd

kat6t€rot.

Til 6iking af kor€ld

anlegg€|s€

ma

guid6wiren

ikke

llytt€6

€fr€r, at

DEgonfly OPTlgscanningskatoter€t

6r

komret

P5

plads.

.

wiB

d6r

rerkes

modstand undsr

fr€mlrdng

6ll€rtibsgehknlng

atDragonlly

OPTIS€canninge

kateleret,

6kel

manipulering

standses

og

vuderus

med

fuoroikopi.

Hvis

66agen til

mdstqnd€n

ikke kan

fast665

€ller mindsk€s,

6kal

kateteretfoFlgtjgtternss

tra

patienten.

.

D6r

sksl brug€s

mindst

mulig skyn6hastighsd

og

f,engde,

som

6r

nrdvendig

forat

scanno

den

,n3k6de

anatomi.

.

Effer Env€ndelsen

kan

dett€

prod!K

udgtr€ sn

pot€ntiol

biologiskfate.

Dsl

skel

d€dor

hanrner€s

og

bodskaff€s

i henhold

trl

godkendt

msdicinsk

praksis

og

gald€nde

lov og

r€gulatil.

.

Brugsanvisning

en er egnet

til

genbrug6boftkaff€1s6.

Bodshf

alt

embal€gsmatedal€

pa

koroK

vis.

.

Der

henvb6s

til brugsanvisnlngen til kont66lmidl€tang6end6

advaB'erog

loEigtighodsr€gl6rvedr.

kontastmdl€i

.

Donne

pakk€

ind€hotd€r

en st6ril

anordning, derkun

er beregnet

tl

engangsbrug. Forsag

PA

gbnanvendelse

e16t

reitsdliseing

kan

kompronillere

anordnlng€ns

6hukturole intsglitel

.

Dragonfly

OPTIs€canningskatotor

mA ikke an(obles

Oo(lapparatet,

Lr

procedur€n

er

bldig,

se

risikosn

for

sterilitebbrud

und96s.

'

Det skal

eh6 v6rificer6s,

at

kateteret

er bl€v€t

koroK

klargjod,

inden

d€t

indfrr€s

i

k8rr€t.

KOMPLIKATIONER

Folgende

kortplkatonor

kan

op6tA

som

folgo

af

intravaskubrs€nning'

.

KoronarartedesDasme

.

Ustabil

angina

.

All€rgisk reaKion

pa

tor

konhshidlet

.

Art€risdisseKion,4k3de€116r-p€dor6ring

.

Trcmbedannelse,

abruptlukningeliertotalokklusioh

.

Abnormo

hjedearyhFt

.

Embdisre

.

Akotmyokardieinfarkt

.

Drd6hld

Figur

1. Dragonfly

OPTIs

s@nhingskateter

(nonineH€

ditrEnsloner)

i

udgBngssluds

fir

gurdewf€

,, Luer

pa

skynsslange

{.

Lins€

:.

Lins€marktr

J.

lndsdntn

utsbt

mlKrl

(

Aiagelig

strvhat€

.

MinRail

INDHOLDSFO]ITEGNELSE

.

't

stk. Oragonfly

OPT|S+enningskateier

MATERIALER

If,G

UDSTYR

.

ILUMIENil

OPTllifl

mobilappaEl

6ll€r

OPTIStu

intogreret

apparat,

hvis

d6 6r

godkendt

til

brug

p6

stedet,

med sofuarev6rsion

E.1

€ll€r nysr€

og DOC.

.

ILUMIENS

mbillicannet

deFom

godkendttil

brug

pb

sted€t,

m€d sonwareveFion

D.2 €ller nyere,

og

tloc.

.

steril

Doc€fdakning

.

3

ml Bkyllesprrjte

.

Kontrastft*ddel indiceretlil

koronsrbrug, til udrensning

og

skylning

'

0,356

mm

(0,014')

guid6wi16

(md

dr€jningsmorentanordning,

hvis

d6flo .nsk6s)

.

Guuekateter

(6

Ch.,

1

,778

m

10,070'l

inderdiaret6r

616r

$trr6,

uden sid€hute

r)

.

Indfrringshylster

(der

passer

til

gu

ldekatet€ret)

'

Y-{omtha@ststiakadeDle/konn€Kor

.

Hepadnlsercl,

fysiolog16ksaltvandsopltsning

til hydrofil katet6rklargrring.

.

Inj€Kionssprsite 6HeradomtiskinjeKionspumpe

(red

injektion3kapacit€t

pe

3,H,0

my*k oplil

i

a[

14

rY{

pe

3,5

sskunder)

KLARGORING

TIL

BRUG

D€r

henviss

dl

brugsnvlsningon

tll

OoT€oannoron

angAende ldargodng

afin6trumentot.

Klarg6rin

g

af

Dragontly

OPTIS€cannin

gskatotel

1.

Tag

foEigtigt katet6Bt

ud af

orel.

2,

Fugt d€t dlslale

s€grent

af kateter6t

fra sFids€n

og

@.

100

cm

I

proksiml

rclningi

der

nd

kun

brug6

hopadnisoret

fysiolooisk

salivard

til

detl€.

Bema*:

,:ugtningen

sikrer,

at den hydrclile

belegning

givet

oplimal

ydelse.

Der

mA

kun

bruges

hapainisergt

tysiologisk

sallvand.

3.

Skyl

kalelerlurcn

md

100 %

kohlEstrnldd€lliludlultning

atkaleleret.

Brug 6n

3

rnl

sproit€,

og

Bkyltildor

kmrer

35

draber

ud af skyll€udl6bot.

Dsnne

6F.ite

nE

ikke

tag6

afskylostud6en

pe

kateterel.

Tilslutning

af

Drigonfly

OPT|S€canningskatetortil

DOC-appanL

FORHOLDSREGLER:

.

&n

bloit

ds

rtud.

pA

OOC

rkrl.ltld

brrMrs

md

vGlkc,

Verk.kont.K

ke

d.Lgg.

DG{pprr.tct,

tl

dd

akal

end.r

tll

cllcEyn.

S€

fgur2

og brugsanvisningen

til

OoT{cenner€n

angeendotiblulning afkat€t€rtil

Doo€pparatot

og kon€K

brug af den stedle

Doo{iC6knlng.

BRUGSANVISD{ING

FORHOLDSREGLER:

.

Irg

tor,

.l

f

atclcrct

llk.

rol.r.r, run3

dcn

6tcrlh

brulF

iilkobLr,

Indbbr

ellrr

plecrcr

kddrrct.

.

St.g

lor,.t

der

lkketEnger

lutl

Ind

l.nordnngcn

und6r

Indfbrlng

at3crnnlnErk.trLrd.

.

OcT+llbd.t.k.l ov.rylg.. bri.gn

pl

opd.k

hl

pl

krHcrct.

Hvb

ds.r

rirt.nkc

om

opti.k

ftll,.kd tddercll{6r

ud

q

crdd6

M

d

nyl,

Indforing

og

anlaggelse

af

Dragonfly

OPTIS-scanningskateter

Sal

Dragoniy OPT|fi-kat6ter€t6'raFid{xchango'hmen

pA

guidowlron

bagtra, og

lMfatden

via

guidskatetsret,

For kateleret

frem undsr

fiuorGkoriskvsil€dnin!.

se

lnse

'{

Drokdmlmrksletne

omfatter

det

rnskod€ s€nnlnosomado.

H\ils der

;rr

dsik6loi

at

Drokdrhslrorksren

ikke

kommr

ud

al

guktehybterot

tilproLsirols@nning,

skallns€w*rred

anbring€s

li'gs

distaltlord6t

snskede

indl€dningspunK

for

tilb€got akningen.

Bemetk:

Der er

h"

runtgenlaste

markqrer

Den mest distale

marktr,

spidsma|*sren,

sidder

4

mm

prcksimalt

for katele6qidsen

og er

fgslnet til

hylstereL

Linsenat*sren

sidder

2

mm

pmksimalt

tor linsen og

angiver

slede4

der

bliver

s6tnet.

Dan Drcksinale

mairq

sidder

50

mm

mksimalt

lor

linsenafugnn

og

anvendes

som

hjalp

til

at

idenlili@fr

scanningsomredel

Srro

tor. at

quid€katot€rot

v€ndol

se d6t

fotldnsvist r6ter

konkastdddebtrtmmn

trEd

mAt;derion,-og

vedfc6r

rud

angiograf,

al d€r tilfores

tibt@Keligt

kontrasbriddel

til

kesionen.

In

vivo-scanning

Der henvls€s

tll brugsanvisningen

til ocT4cannorsn

angeends

optagehe

atpatientHlled€r.

Bema*:

N*

kateteret

et

tagel ud

al

patienten,

skylhs

Oftgpnf,y

OPTls-scannin6kateterel

indtil

det

lsber

3-5

ddber

kontndmiddel

uc

at

skylteudtsbel

Swhsprujten

skalvsb

lilshlttet

under

hele

prc@duren,

Tor

Slod

og

kontn;tniddefuden

pe

don

diitate det

at

ned

heiEdniseret

safyand.

Dregonfly

oPTls-scanningskateleret

skal

vo,e lilsluttot

Doo-appantet

under hele

Wceduren.

Figur

2.

S@nningskatet€dibhtning til DOC€pparat

lT'6;dfiiEififis"r,E-l

F:RiiA€rtEffins$tua--l

lE-na-kab,l-;mp

--l

lD.KatetoEf(oblingsknap

I

-'

J

I

,-l

-l

ffi*"wr

l/

GEBRUIKSAANWIJZING

-

NEDERLANDS

BESCHRUVING

De

Ormonfivfl OPTISn

beeldvorfifnoskalhst6r

b€staal

ufttwee hooflgenhedon:

de

katheler

en

de

int6i1e,

r6terende

vezeloplisdre

kein,

Oe katheter

h*fr

oen invoerbare

l6ngl6

van

'135

m

rel

€en

diaretervan

0,91 mm

(2,7

Fr), Het

ohtwErp

ii

van hot typ€

mt

snelle

uitwisetlg('RX)

ret

€en

'rilnlrall'tip,

waartij

de

vosrdraad

ov€r

o€nlongte

van 20

m

wordt

g€gr€p€n.

Oe katheter

heefi een

hvdrof€lo coatim

on ls zodanlo

onlwoFsh

dat

dsze

comlibel

is

retsfuuftaro

vosrdraden-van

0.356

mi0.014

inch). die voor aoronaire inlory€niios

worden

gebrulK

Proximal

van

do

dnlEll.lip

b€vlndt zich

het

besktuofringFg€bisd.

Tildens

beeldacquisitB

draait

d€

vozolodische

kem van

do

Dragonfry OPTIS

bsoHvorrfngskalheter

rond, en deze worclt

automtisch

in

de kath€ter

loruggatokk€n l€r vertriiring

van een

360'+€€ld

van

de

slagader

en 6en continu t€rugtrokbe€ld

van een

s€grent

van

de

glaoadoi

Er

ziin

dde radiopak€

mark€dng€n,

De

msst

distale

rotkedng,

do

tipmRering,

bevindt

ich

4

m

troximal

van de

tp

van

de

kaihet€r

6n is aan

de hub

bevestigd.

D€ l€nsmark€ring

bevindl zich

2 mm

proxlmalvan

ds

l€ns. Do

mest

proximle

mfiering

b€vindt

zich

50

m

proximalvan

de

l€nsmrk€dng

€n

disnt omde b€sldvomingsreglo

t€ holp€n

ond€Fch€idon.

Do

l€lsmltedngen

en

proximalo

markoringsn

ziin

rechbteeks

aah

de

beeldvomingsk€m

bovestgld.

Ze

hwegen

tiilens

het

terugkokkon,

t€Mi.il d6

tipmrkodng

st6tionair

bliift. De b€oliCvomingsk€rn

ksn

@k

ondsr

f,

uoroscolio

wordon

bok€kon.

Een

h€rftting

opd6

zijam

aan hot

prorimlo

uit€ind€ van

de kathetor zorgt

oryoordal hotc€ntral€

katheteriumn

v66r

sobrulk

mk*€Ilk ret

100%

dnt.GtvlDeidof

kan

word€n

gssp@ld.

Ver

h€ts@€lsn

van de

iathetor

is €€n

awit

van

3

trl

vereist,

Oe

kathat6rdl6ntvoorc&aande

aan

de

bdeldvofllng

gsspo€ld

tEwoldon.

De

spultvan

3

rl

met

aan do zijarm

gskoppoH

bliven zod6l

er

tjilens

do

bs€ldvoming6procedure

regebnatig

l:anwordon

g6po€E

€n

sn

slaFche

dtuxwoM

gehandhaafd

om terugvlo6iing

t€

voorkomn,

De

Drdonfv

OPTIS

b€€ldvomimskatheter

wordt

oD

h€t

OCT-bsldvofiilM$yst@m

aangesloten

via de aiandrllfttulor

6n ordischo

conlro{er

(DOC),

AIe

vozBlopiischo

rotalie en

kan6lalion€l€

t€rug'tr€kting'wordt

aangirstuurd

dool

de OOC en vindt

tinnen

In

de

kathoter

phab.

Zie

ookAboelding

1.

INDICATIES VOOR

GEBRUIK

D€ Dragonfiy

OPTIS

b€oldvonr{ngskathetet

en hot

OoT+BoHvordngssyst€om

zijn bedo€ld:

1.

voord€ kwaltatieve

€n lsantitati€vo

ovaluate

van

de

vasdhlro

mrfologie

van

de

kansslagad€r€n;

2.

ah

hubriddel

tij

conv€nlion6lo

anglogmfsche

procoduros

om een

tEeld

t€ v6mohaff6n

van

hel

vaatluren

€n de veatwands{ructuur:

3.

voor

b€€ldvorring

van

de kfanslegadelen,

gelndi@€rd

bl

paliiinton

die kancidaat

dln

voor

een transluminal€

ingre€p,

CONTRA{NDICATIES

H€t

g€bruikvan

de DEgonf,y

OPTIS

b€€ldvottningskathetori6

g€conlralndiceerd

waar hel

inbrong€n

van

@n

katheter

e€n b€drelging

voor de

v€lfgh€id

van

de

patdnl

zou

vomn

Enkele

contraiMi€tiee

zijnl

.

Bad€ri€mie

ofsopsis

.

Belangdjke

atuijking6n

in het

bloedstollingssy6tsom

.

PatiSnt€n

die ni€t in

aanms*ing

kom6n

voor

€en

CAB@op€ratio

.

Pati6ntsn

die

niet

in

aanmerking

kom€n

voor PTCA

.

Erf,stjgsherrcdynamischelnstsbilileiiofshock

.

Pati6nt6n

tut

66n diagnos6

van spasms

van

d€

kransslagade6

.

Tobl€ occlu6ie

.

Gaote

trodus

.

lcuut

niedalen

WAARSCHUWINGEN

EN

VOORZORGSiIIAATREGELEN

.

Bi

omgevingstempeEluur

op

€en droge

plaats,

niet

blootgssteld

aan

dlrsctzonlicht,

opsban.

.

Zorg eNoor

dat d€

kstheter

op

kamed€mperatuur

is

(10'C

tol 32"c)

voor

u

d€z€

gobruik

.

Dfr

instrurent

ls

o€slerilis€srd

mt

6thvle€norlde

€n

b uilsluitond

bedoeld

voor eenmalg

gebruik

Nj€!+ylosesn

@h,Nieti!!i4!-s$uf4

@

.

Wann6ernodig

dienttijdons

de ingreeP

€en

bohandeling

mtgsEchiKe

antlcoagulantia

5n

vaaN6Niid€nde

dddsl€n

towordenlo€g3past.

.

Obs6Neer

het

opvoeron

€n de

veDlaat6ing

van

d6 Dragonfly

OPTIS bseldvomlngstalh€tel

aftijd

onderfuoroscopie.

De

kathot€r

moet

allljd langeamwordon

opgevoeld

en

t€ruggeroxkon.

ffi

de

vetulaatsinq

vai

het

insbument

niet ond6r

f,uoioscopbwotdt

gsobsoryeerd,

kan

b€schadiging

van

hefbb€dva-t ofh€t

instrum€nt opteden.

Wanns.rda

Dragonfly

OPTIS boeldvormingskathtrter

op

ziin

pLals

zit, mag

u,

om

€€njui5t6

plaatsing

t€

vau

€koron,

de

voerdraad

ni6t b€wegeh

'

Als

tidsns

h6t opvoere n

of

lerugiroK6n

v€

n de

Dlagonfly

oPT

lS

be€hvo

mingsk€lheter

we

eFtand

wordi ond€rvondon,

dient de

mitnlpuhtiete

worden

g96iqt

6n e6n

€valuatb

onder

fluorosr:opE

te

worden uildsvoerd.

Als

ds oozaak van

d6

we66tand

nlet kan

worden

b€paau ofvorholpen'

mo€t

d6 katheteivooubhfig

uit de

paliontwordsn

voMiiderd.

.

&bruikd€

lssgsto

spo6lsn6lheil

€n het

kl€insto spo€fuolum

om

sn

bs€ld

van

de

gewenste

enatode

te

krijgsn.

.

Ne

gebrulk

kan dfr

produd

mogelik

€6n

biologkch lisho

vomn

De

kah€tor moet

in

ov6r6en6t€ming

ml

de

aanvaard€

redische

PEKIk€n

6n d6

van lo€pa66lng

zuno€

wetg€dru

en

vooGchdn€n word6n

g€hanl€erd

3n

6fgovoeld,

.

De

gebruiksaanw_ijzing

is.recycleerbaar.

Alle

v6Ipakkingsilatori€l€n

m€ton

op 6en

passende

mntetwoden

alg6vo6Ic.

.

RaadDl€eo

d€

inBtruclbs voor

de

contasMo6istofvoor

6lgsmne

waatschuwingon

en

voozbrgs-mat6gol€n

in

velband

ret

contrash'lroebtoflsn

.

De6 v€rEkkinq

bovat

een

stetielhubdddol,

(ibluilend

voorenmlig

g6bruik

Elke

Poging

om

h€t

opniswt€

dobruik€n

ofsterilissren

zal

de

shdurel€

int€griteitvsn

h€t

hulpdddel

santaslen.

.

Neem

do

OEgonfy

OPTIS

bsel&ormingskatheb6rniot

uit het

Dm4mhulsel

tot

de

ingbDpvoltooid

ls om mogelijke

aanbsting

ven

de

steilit€nl€

voofiomn,

.

Contrcl€er

steds

of de

katheterjuist

is

v@bereid

voordat dezs

in het

vaatstelssl

word

ingobracht

COMPLICATIES

De

volgende

comptcati6

kunnen

o8eden

ab

gsvolg

van

Intravascuhlre

beeHvofring:

.

Spasre

vsn

de

kransslagaders

.

Instabisl€

angina

.

Allergisch€

r6adi6

op

contraslloeistoffen

.

Dissede,

lotsel

ofpertoralie

van aderi€n

'

Trodusvomilng,

abrupto aftluiting

ofvol6dig€

occlusie

'

Abnormale

hadffien

.

Embolie

.

Acuut myocardinhrcl

.

Ov6diijen

Ab€otdinO

1,

Oragonry

OPTIS

b€eldvotringskaheter

(norinale

afrnolingon)

Luervoor

zijam

1. L6nS

t.

Ptoxtmle mg(€nng

:.

Distal€

mrkedng

[.

Atupuroat

INHOUD

.

E6n Oragonfiy

OPTIS

bseldvomingskath€ter

BENODIGDHEDEN

EN

APPARATUUR

.

Het

mobiele ILUMIENtu

oPTlsflaysteem

ofhet

geintegreerde

oPTlsn€y5teem,

indien

goedg6k6urd

voor maddinkodudi€,

gebruiK

ftl

sotuar€v€Bie

E.1

of

hogel

€n d€

D@.

.

Hetmobi€le

ILUMIENx-sysleem,

indien

goedg€k€!rd

voor marklintroduclie,

uitslurtend

gebruikt

mt

6ofuar6v66ir)

D.2

ol hogeren

de

DOC,

.

stoil€l oftfrulsel voorde

DOC

.

3

mkouilomte

sboel€n

.

ConkasMooislof!lelndlceerd

voorcoronairg€bruik,

voor onlluchten

en

dooEpoehn

.

Voerdraad

van

0,1156

mm

(0,014

lnch)

(desg€wsnst

mst

drEsiindchling)

.

Gel€idekatheter

(6

Fr,

lD

van

I

,778

mm

[0,070

inchl

of

g

rotitr, zond€r

zijgat6n)

.

Hulsinlroducer{diBbijg6leid6kath6terpast)

.

Hsmsletisch€Y.€daDteiftonnector

.

Gsheparinis€ordlysiologischzoutvoorhydrofelek6thsterpBparatie

.

Inj€diespuit

of

adomtisch€

injectorponp

(mt

mgelijkh€id

om

3,H,0

dvsoctE

anj€c'lersn

voor

in totaal

14 nJ in 3.5

66csdenl

VOORBEREIDING

VOOR

GEBRUIK

Raadpleeg

d€

gobruiksaruijing

van het

ocT-b€eldvorring$ysl€om

voor

helvoob€reiden

van d€

lnstrumnten.

V@rberciding

yan

Dragonfl

y

OPnS-beeldyormln

gskathetel

1.

VoMijd€r do

kathoter

vooriohtlg

ult de dng.

2.

Bovochtig

hRt

dlstal€

s€gmnt

van

de

kathetel

vanafde

tip

lot

ongev€el

100 cm

Horimal;

gobruik

hioryoor

ultslult6hd

eeh

geh€parinisesd€

zodophsng.

Opnefuin!!:

Door de bevochliging

wotdt de

wtking

van

de hydrcfrele @ating

geoptimali$ead.

Gabruk uikluitend

gohepadniseetd

zout.

3.

S@elhethmnvand€kathoterretl00%@ntrasrttriddelomal€luchtuitd€kathetor

ld

veRiiieron.

G6bruik

66n

6puhvan

3

lrd

en

stE€l lot

61

3'5 drupp€b

uil de spooluitlaat

komn.

VeMiid€r

deze spuit niel van d€

spo€hooi:vsn

de

kath€tor.

De

Dragonfly OPns-beeldvomingskathetcr

!'p

do

DOC

aansluiten

WMRSCHUWNGEN:

.

&&h€rm

dc

blFtllggend.

@nndor.illrd

tGgen

tulttorftn.

BU..nr.klng

Mvlo€l.tot

k.n

dc

DOC

onbrullb[rwodcn

6n

l.

mclii*

onddild

v!El&

Raadpl€eg

Ab€€lding

2 €n do

gobruikasnwij/ng

voor het

OcT+€sldvorringsy6teemvoor

iNtrubd€s-ovor

het

adnsluit€n

v.6n

d€

kath6toi

otdo

DOC

€h

hetjuistgsbrulkeh

ven hel

sleliol€

OOC{mhub6l.

WAARSCHT'IMNGEN:

.

Zorg

.ry@r drt

dc

klthd.r

nld

d[.lt tedll

dc

.brlclo

opardor

dc

k.ihslct

la.dt, Inv@il

ol

m!nbFA

.

Zorg

dat!rqdfft

hd

Inbreng.n vrn

dc

Hdvormlng$k.thct4rg*n

lucht In hct

ry.ts

blnncnddngt.

.

conlrolGcr

hd

OCT+o€ld

op

.enduldlngen

dd

dc

krtiet

r

en

optllch

d!t!d

hstt

All

4n

opllsch

d.fecthrdtvarhd,

vcrwldcd

u

dc

kdhcbr

!n

vowtngt

u

hm dooren

ntsuwc.

Dragonfly OPnS-!eeldyomingskathoter

inbrcngen

sn

plaatsen

Laad

de

Dragohfiy

oPTls

b€eHvorrdngskatheter

mt

hot

luren

voor

snel€ ultwis66lng

op

de voerdraad

en voer hem in via

de

g€l€ldekathotor.

Vosr

do

kathetor

onderiuoroscofischs

b€g€lelding

op tot de

l€nomarkedngon

€n de

proxlmle

mrkedngen

de

g€wtnsle

b*ldvofiilngFroglo

omatten.

A16

tij

ploximle

b€€ldvoming

d€

kaN

b€staat

dat de

ffoximl€

mrkedng

hiet uit d€

gol€idehub

konn.

phabl

u

de

Ensmft€nng

nol

distaal van het

gow€nsle

beginpunt

voorde

terugtrekking.

Opmerking:

Et zijn

die

radiopake narkedngen.

De

meest

distale

matueing'

de liDmetkeino.

bevindt zich

4

mm orcximaal

van

c,e

tio

van

de katheter en

h

adn de hulstrevestiod.

De lensmed(einq

heindt

zich

2 mm

prcximaal

van

de

tens

en

geeft

de

locatie

v@r de beztldvoming

aan.

De

prcximale

narkeing

bevifutzich

50

mm

proximaal

van

de len'ma'//.,eing en

dient

om de beeldvomingsregio

te

hel,F'n

oMe6cheiden.

Zorg

dat ds

gsleid€kaheter

zo

geori6ntcerd

ls dat hat

conttastriddol

naar

d6 doollaesio

slfooritt,

en

dontroleei

angiognfsch

ofvoldoende

@nlrastniddel naarda

laesio

6troon{.

In

vivo beeldvotming

Raadploeg

de

O€bruiksaaMiizing

van het

OcT-b€eldvorning$ysteom

voor

hetv€zsml€n

van

pali6ntbeolden,

ODmetuinq:

Na het

vewikteren

van

de

katheter

uit

de

patient,

noet

db

DEefiflv

OPTIS

Mdvorminoskatheter

oedrcineetd

wot&n

tot

et

x5

dntoDels

contrastvloeistof

iit

de aftapiiuaat

komen

.

Houd de

onluchtinQsspuit

aangesloten tijdens de

gdhale

ingrcep.

Ve€g

hat

distale

d&eeb

at

net

aeheDdiniseerde

zoutoplossing

on

extem bloed

en

conftdstvtoeistof

te

iewiideren.

Houd

&

Diagonfli

OPTIS-beeld-

vomingskathetet

tiidens de

gBhele

ingrcep aangesloten

op

de

DOC.

Atbe€lding

2:

aanshiting

van

be€ldvorfiingskathotsr

op do DOC

,l

'l

-l

l.-

$,"1"

-

lE-

23m

------+llmnF-

KASUTUSJUHEND

-

EESTI

KIRJELDUS

Ofagonfiyil

OPTISil

kwariskatoeter

koosneb

tahost

Farisest

komnsndjst

kateetri

korpusest

hing

piidralavast

fiberodlisost

sodanikusl.

Kal€otri

sis€statav

rikkus

oh

135 crn

diameldga

0,91

m

(0,0'14).

Togorlst

on

kheslj

vahetatava

('RX)

disainiga

seadmega,

nillel

on

p66mlav-

otsla rille-Jqhtelraadi

rak€ndusdkkus

on

20

m.

Kal€otril

on

hodrcfilne

kato-ja

s*

0hildub

0,356

m

(0,014)

iuhitavate

ilhtetraalidsga,

dda

kasutatakse

koronaa6€te

lmeruenstoontd€

Hhul.

Pdrdratavo

oba

ldh€duseson kuvarisdirkond.

Piklstan{s€

ajal Ora