Erbe HybridKnife GI User manual

80114-503 10.16
HYDROSURGERY
INSTALLATION INSTRUCTIONS
HybridKnife®with the GI workstation
Operating steps
You need:
•A gastroenterology workstation that is
ready for operation, and to which VIO and
ERBEJET 2 footswitches have been con-
nected.
•A return electrode, including a return elec-
trode cable
•A pump cartridge
•A HybridKnife
•Saline solution and infusion set, possibly
dye (e.g. indigo carmine)
1. Switch on the VIO.
2. Select a program (e.g. HybridKnife ESD).
3. Check the program settings of the Monop-
olar socket (for recommended VIO setting,
see overleaf).
4. Adopt the program settings. You can now
adjust the program settings as required.
1. Switch on the ERBEJET 2 unit.
2. Use the selection buttons  to select a
program (e.g. HybridKnife).
3. Confirm using the OK selection button.
4. You can now adjust the program settings
as required (for recommended ERBEJET 2
settings, see overleaf).
1. Wait until the ERBEJET 2 display shows
Please insert new cartridge!.
2. Slide the pump cartridge into the pump
shaft. The pump cartridge must audibly
click into place.
1. To achieve an improved contrast, you can
add a dye to the sterile NaCl solution. A
low dose is sufficient.
2. Connect an infusion set to a sterile NaCl
solution.
The Installation Instructions do not replace training or the Notes on use.
The Installation Instructions do not include any safety information. Familiarize yourself with the safety instructions in the Notes on
use.
These instructions describe connection of the HybridKnife for use in the gastrointestinal tract.
!
1Preparation
2On the VIO 3On the ERBEJET 2 unit
4Inserting the pump cartridge into
the ERBEJET 2 unit
5Connecting the NaCl solution to
the pump cartridge

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3. Open the roller clamp. Wait until the infu-
sion hose has filled completely. It is
thereby vented.
4. Close the roller clamp again.
5. Remove the protection cap from the pump
cartridge and infusion tube.
6. Connect the pump cartridge and infusion
tube.
7. Open the roller clamp.
1. Insert the fluid tube connector of the
HybridKnife fully into the pump cartridge.
1. Wait until the ERBEJET 2 display shows
Prime.
2. Press the START selection button.
3. Verify whether the suction hose of the
pump cartridge fills with the NaCl solution.
The priming process can take up to
20 seconds.
1. Plug the HF connector into the monopolar
3-pin socket.
1. Extend and retract the electrode needle
completely out and in again using the
slide switch.
1. Direct the instrument tip towards a cloth.
2. Activate the footswitch. An even water jet
has to emerge.
1. Completely retract the electrode needle
before you retract the HybridKnife into the
endoscope.
Setting recommendations for
ESD
On the VIO unit
HF settings for esophagus, stomach, right
colon, rectum and left colon:
•Marking:
FORCED COAG, Effect 1, 20 W
•Incision/dissection:
ENDO CUT Q, Effect 2/3, cutting duration 3,
cutting interval 3 (only possible in activated
Expert mode)
or
DRY CUT, Effect 2, 80 Watt (intense hemo-
stasis)
•Coagulation:
FORCED COAG, Effect 2, 50 W
On the ERBEJET 2 unit
Water jet settings for mucosa elevation (differ-
entiated according to tissue types):
•Esophagus: Effect 30 – 50
•Stomach: Effect 30 – 50
•Right colon: Effect 10 – 15
•Rectum and left colon: Effect 20 - 30
6Connecting the HybridKnife to the
pump cartridge
7Priming the pump cartridge
8Connecting the HybridKnife to the
VIO
9Conducting a function test
10 Retracting the electrode needle
11 Connecting the neutral electrode