BD EnCor Enspire User manual

EnCor Enspire™
Breast Biopsy System
Quick Reference Guide
Ultrasound/Stereotactic

1. Easy setup
System power up............................................................................................................................................................................................................................... 1.1
Vacuum setup.....................................................................................................................................................................................................................................1.2
Probe setup..........................................................................................................................................................................................................................................1.3
Touch screen setup........................................................................................................................................................................................................................... 1.4
2. Routine procedures
Sampling............................................................................................................................................................................................................................................... 2.1
Marker placement.............................................................................................................................................................................................................................2.2
Clean up................................................................................................................................................................................................................................................2.2
3. Advanced options
Sample pattern selection .............................................................................................................................................................................................................. 3.1
Sample size and tissue density....................................................................................................................................................................................................3.2
Anesthetic mode...............................................................................................................................................................................................................................3.3
Biopsy site fluid management.....................................................................................................................................................................................................3.4
Sample rinse option .........................................................................................................................................................................................................................3.5
Probe specifications .........................................................................................................................................................................................................................3.6
4. Procedure screen
Descriptions......................................................................................................................................................................................................................................... 4.1
Contents

1
Easy setup
System power up
Vacuum setup
Probe setup

EnCor Enspire™ quick reference 1.1
Easy setup 4 steps
1. Turn Main Power Switch ON (rear of console).
2. Connect appropriate EnCor®Driver/s to rectangular connector
on rear of console. The Active Driver is indicated by a green
LED light above connector.
Main power switch
Driver connectors
System power up
1
34
2
3. Turn Standby Power Switch ON (front of console).
4. Connect the Foot Pedal at rear of console (if desired).
Standby power switch Foot pedal

1
Easy setup
System power up
Vacuum setup
Probe setup

EnCor Enspire™ quick reference 1.2
Vacuum setup
1
4
2
5
3
6
Secure lid onto canister. Secure large cap and
tandem cap to lid of canister.
Place canister into console.
Load tubing cassette
(ensure it “clicks” into place).
Connect elbow to
center of canister lid.
Connect tubing cassette
to patient port on canister.

1
Easy setup
System power up
Vacuum setup
Probe setup

EnCor Enspire™ quick reference 1.3
Probe setup
1
4
2
5
3
Spike saline bag prior to inserting
into designated slot.
Snap rear of probe
into rear latches.
Slide front of probe
under front latches.
Align probe.
Connect probe tubing to large port
(purple). Connect optional rinse tubing
to small port (blue).

2
Routine procedures
Sampling
Marker placement
Clean ups

EnCor Enspire™quick reference 2.1
Sampling
12 o’clock Single Sampling is default for ultrasound 12-12 Sampling Pattern is default for stereotactic
Remove sample tray
to access samples.
Probe will automatically index to take samples from
each of the designated sample sections.
Press and hold “Sample” handswitch or footswitch for
continuous sampling during an ultrasound biopsy.
Press and hold “Sample” footswitch for continuous
sampling during a stereotactic biopsy.
The EnCor Enspire™Breast Biopsy System status is displayed on the Touch Screen.
Sample acquisition options may be selected via this screen.
Ultrasound Stereotactic

2
Routine procedures
Sampling
Marker placement
Clean ups

EnCor Enspire™quick reference 2.2
Marker placement
The EnCor Enspire™Breast Biopsy System allows operator to deploy a marker through the probe.
Enter Marker Mode by touching “Marker” tab.
Probe aperture will open to allow for marker placement.
To clear the biopsy cavity prior to marker placement,
press “VAC” handswitch or footswitch to access
Vacuum options.
Select “Quad” to index
aperture through quadrants.
Remove gray cap (twist to the left)
from collection chamber.
Insert marker tip guide.
Depress plunger to deploy marker.
Insert marker through
marker tip guide.
Align the yellow indicator on the marker
with the red indicator on the probe
(open aperture position).
Touch “Rotate 180˚” icon on screen.
Remove the EnCor®probe/marker
applicator together as one unit.
1
4
2
5
6
3

Routine procedures
2
Sampling
Marker placement
Clean ups

EnCor Enspire™quick reference 2.3
Clean up
Remove and dispose
of marker applicator.
Remove probe from driver and dispose
in sharps biohazard container.
Disconnect tubing and sample
collection chamber from probe
and dispose in red bag.
Disconnect tubing from system,
cap end of the tube and roll up.
Remove and dispose of canister, tubing
cassette and optional saline bag.
1
4
2
5
3

Advanced options
3
Sample pattern selection
Sample size and tissue density
Anesthetic mode
Biopsy site fluid management
Sample rinse option
Probe specifications
Sample Pattern Selection
Sample Size and Tissue Density
Anesthetic Mode
Biopsy Site Fluid Management
Sample Rinse Option
Probe Specifications

EnCor Enspire™ quick reference 3.1
Sample pattern selection
To rotate aperture orientation
to even and odd clock positions,
push the arrow indicating desired
starting position.
In “Advanced Mode”
non-contiguous sample
selection is possible.
Sample acquisition options are selected via the touch screen. To change the sampling
pattern, touch finger to the desired sample section within the Sample Pattern Selector
or select pattern by swiping area within the Sample Pattern Selector.
Ultrasound
Stereotactic

Advanced options
3
Sample pattern selection
Sample size and tissue density
Anesthetic mode
Biopsy site fluid management
Sample rinse option
Probe specifications
Sample Pattern Selection
Sample Size and Tissue Density
Anesthetic Mode
Biopsy Site Fluid Management
Sample Rinse Option
Probe Specifications

EnCor Enspire™ quick reference 3.2
Sample size and tissue density
In sample mode the following options are available:
Full sample (Default)
Full vs. Half Sample
Aperture Opening
(Full = default)
Normal vs. Dense
(Normal = default)
When icon is selected on screen, icon will appear in bright yellow. Choose these options at any time during the procedure.
To change sampling from Full to Half,
touch “Half” sample icon. Touch “Full”
sample icon to return to full sampling.
To change sample mode from normal
tissue to dense tissue, touch “Dense”
icon. Touch“Normal” icon to return
to normal tissue sampling.