BD EnCor Enspire User manual

EnCor Enspire™
Breast Biopsy System
Quick Reference Guide
MRI

1. Easy setup
System power up ............................................................................................................................................................................................................................... 1.1
Vacuum setup.....................................................................................................................................................................................................................................1.2
Probe setup..........................................................................................................................................................................................................................................1.3
2. Targeting
Prepping the Breast Surface......................................................................................................................................................................................................... 2.1
Trocar preparation............................................................................................................................................................................................................................2.2
Locking the block...............................................................................................................................................................................................................................2.3
Securing the cannula.......................................................................................................................................................................................................................2.4
Verifying VisiLoc™position.............................................................................................................................................................................................................2.5
3. Routine procedures
Sampling............................................................................................................................................................................................................................................... 3.1
Marker placement.............................................................................................................................................................................................................................3.2
Cleanup .................................................................................................................................................................................................................................................3.3
Probe specifications .........................................................................................................................................................................................................................3.4
This Quick Reference Guide for the EnCor Enspire®Breast Biopsy System is intended
as a summary overview only. Please consult product labels and inserts for indications,
contraindications, hazards, warnings, precautions, and directions for use.
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
12
Secure lid onto canister. Secure large cap and
tandem cap to lid of canister.
4
Load tubing cassette
(ensure it “clicks” into place).
5
3
Place canister into console. Connect elbow to
center of canister lid.
Connect tubing cassette
to patient port on canister.
6 7
If using rinse cassette,
spike and attach saline bag.

Easy setup
System power up
Vacuum setup
Probe setup

EnCor Enspire™ quick reference 1.3
Probe setup
12 3
Slide the front of the MRI probe
beneath the leading edge guides
on the MRI Driver.
Connect the extension tubing to the
cassette (large purple port). Then,
attach other end of extension tubing to
the probe’s tubing. Connect rinse lines
(small blue port) if using rinse.
Snap the rear of the probe
into place. An audible click
should be heard.

Press the sample
switch on either
the foot pedal or
the handpiece to
calibrate the probe.
Touch screen setup
Ensure that the correct driver is selected prior to calibration.
EnCor Enspire™ quick reference 1.4

2
Targeting
Prepping the breast surface
Trocar preparation
Locking the block
Securing the cannula
Verifying VisiLoc™position

EnCor Enspire™quick reference 2.1
Prepping the breast surface
Target the region of interest using the MRI
gridworksheet and/or CAD system.
Identify the appropriate grid fenestration
based on the targeted location.
Sterilize the area of the breast in and around
the targeted fenestration of the grid.
Anesthetize along the entire targeted path
and ~2cm beyond the targeted region.
Use an MRI approved scalpel to make
a skin nick at the targeted area.
1 2
3 4

Targeting
Prepping the breast surface
Trocar preparation
Locking the block
Securing the cannula
Verifying VisiLoc™position

EnCor Enspire™quick reference 2.2
Trocar preparation
Insert trocar through the cannula. Set the leading edge of the depth stop to calculated
depth. Be sure to add 2 cm to the calculated depth
to account for the thickness of the block.
1 2
Slide trocar and cannula through the appropriate
aperture of the locking block.
3

Targeting
2
Prepping the breast surface
Trocar preparation
Locking the block
Securing the cannula
Verifying VisiLoc™position

EnCor Enspire™quick reference 2.3
Locking the block
Place block in correct orientation and fenestration
of grid based onthe calculated target depth
and location.
Seat the block firmly into place in the grid without
advancing the trocar.
1 2
Insert the tip of the trocar into the skin nick and
lock the block into the grid fenestration by rotating
the lever into the locked position, denoted by the
“L” on the block.
3

Targeting
2
Prepping the breast surface
Trocar preparation
Locking the block
Securing the cannula
Verifying VisiLoc™position

EnCor Enspire™quick reference 2.4
Securing the cannula
While holding the cannula hub, gently twist the trocar and cannula
while inserting to the set depth.
Lock the cannula into place by rotating the depth stop clockwise.
1
2

Targeting
2
Prepping the breast surface
Trocar preparation
Locking the block
Securing the cannula
Verifying VisiLoc™position