Hologic Aquilex User manual

Aquilex®Fluid Control System
with Supply Bag Scale
Set-up & Troubleshooting Guide

For Hologic Technical Support,
please call [phone]
Hologic Representative:
Cell Phone:
Email:
Technical Support

SET-UP
Set-up

STEP
2
Connect the color-coded
vacuum tubing from the high
(green) and low (white) pump
vacuum ports to the vacuum
ports on the back canisters.
Do not discard vacuum
tubes after the procedure,
they are reusable.
Tandem connect the
front canister to the
back canisters using
the tandem ports.
Place a tissue trap in the
front high vacuum canisters
if the MyoSure®Tissue
Removal Device is utilized.
STEP
3
Set-up For Hologic Technical Support, please call [phone]
Connect the white Y
outow tubing connector
to the patient port on the
front low vacuum canister.
STEP
4
STEP
1
Ensure the Supply Bag Scale
is plugged into the t-shaped
connector on the back of the
system. When NOT connected
system will turn on and display
“System OK. Bag Scale
Not Connected”.

Set-up For Hologic Technical Support, please call [phone]
Turn on the Aquilex
system before any
tubing is connected
to the roller wheel.
The system will perform
a self-diagnostic test.
Twist the yellow
luer-lock onto the
scope outow channel.
STEP
6
STEP
9
STEP
7
Twist the blue
inow luer-lock
onto the scope
inow channel.
When prompted insert
the inow tubing around
and past the roller wheel
to secure into place.
STEP
8
STEP
5
Connect the yellow Y
outow tubing connector
to the underbuttocks drape.
Ensure the drape port is
open so uid can return
to the canisters.

Set-up For Hologic Technical Support, please call [phone]
Hang and spike uid bags.
Up to 4 uid bags can
be hung.
Additional uid bags should
be readily available. Fluid bags
can be hung while the system
is running.
STEP
10
To prime the system check
that the inow stopcock is
completely open and your
uid bag is unclamped.
Press the “Prime” button.
During the Prime Cycle
the system will purge air
from the system and
perform an automatic
lumen calibration.
Once the prime is complete,
the system will beep once
and switch to system
operating mode. Close
the inow stopcock.
STEP
11
Set an intrauterine pressure.
Aquilex will automatically
adjust its ow rate (capable
of 800 ml/min) to maintain
the set intrauterine
pressure.
The intrauterine pressure
is adjustable from 40 to
150 mmHg.
STEP
12
Set a uid decit.
The decit is adjustable
from 700 to 2,500 ml.
STEP
13
Press and hold the “Zero”
button to 0 the uid decit.
STEP
14

Notes

SETTINGS
Settings

SETTINGS

For Hologic Technical Support, please call [phone]
Settings
* Remember to always follow hospital policies. For further guidance please refer to: AAGL’s Practice Guidelines
for the Management of Hysteroscopic Distending Media, March/April 2013, Vol. 20, No 2, The Journal of the
American Association of Gynecological Laparoscopists.
FLUID DEFICIT:
Solution Type Examples Decit Limits*
Hypotonic Glycine, Sorbitol, Mannitol 1,000 ml
Isotonic Normal Saline or Lactated Ringers 2,500 ml
Intrauterine Pressure: the intrauterine pressure should be at the lowest
pressure necessary to distend the uterine cavity and maintain visualization

Notes

User Tips
USER TIPS

User Tips For Hologic Technical Support, please call [phone]
Changing Canisters
1. You can press the
“Pause/Resume” button.
2. Change the canister and then press
“Pause/Resume” once the change
is complete and you are ready to
continue the procedure.
How to Display
the Total Volume
Hold down both the up and down
arrows on the decit limit display
to show the total uid volume.
Changing Bags
The Aquilex system does not need to
be paused for bag changes. A new
bag can be hung while the system is
running. DO NOT remove the empty
uid bags during procedure.
How to Check the Vacuum
Test vacuum by placing a nger
over the gold exhaust valves on
the back of the Aquilex pump.
If air is felt then the vacuum pumps
are operating.

User Tips For Hologic Technical Support, please call [phone]
Prime Complete Sequence
• The system will beep once
• The interface will say “Prime Successful”
• The system will then automatically switch
to operating mode
STEP
1
STEP
2
STEP
3
How to RePrime
1. Press “Pause”
2. Press and hold the “Prime” button for 3 seconds
3. Press the “Prime” button again to begin the Prime Cycle
4. Once complete the pump will switch to operating mode

ERROR CODES
Error Codes

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Error Codes
Pump Display Message
and Audible Tone Cause Instructions
System Check Running Normal start up sequence Wait for “System OK” message.
System OK
1 beep
OR
System OK. Bag Scale
Not Connected
1 beep
Normal start up sequence
Abnormal startup, bag scale not
connected (only relevant if the bag scale is
present)
System is ready for operation.
Connect bag scale to cart scale, and then connect
the second connector to the pump. The second
connector is labeled with the connection to
scale symbol.
Insert Tube Set Tube set not inserted or
transponder defective Insert tube set.
Press Prime Button Normal start up sequence Press “Prime” button.
Prime Successful Close Stopcock
1 beep Normal start up sequence Close inow stopcock on hysteroscope.
Pump Operating Normal start up sequence The surgeon may start the procedure.
Calibration Running Normal start up sequence
Automatic Lumen Calibration takes ~10 seconds
to purge air from tubing and 10 seconds to
calibrate hysteroscope.
START-UP SEQUENCE MESSAGES

For Hologic Technical Support, please call [phone]
Error Codes
Pump Display Message
and Audible Tone Cause Instructions
Pump Paused, Press Resume
1 beep
Pause/Resume button has been activated.
Roller wheel and vacuum pumps stopped.
Decit value locked
Press Pause/Resume button again to resume surgery
Bag Change, Please Proceed System is still running while bag is hung, system
automatically detects new bag Spike new bag, and do not remove the empty bag
Check Tube Set Installation
1 beep Tube set installed or inserted incorrectly Remove and re-insert tube set. If message recurs,
switch to a new tube set.
Tube Set Over Usage Limits
1 beep
Tube set recognition function indicates tube set
has been used already Insert new tube set.
Check Flow Path Stopcock, Clamps
1 beep
Flow path is blocked. Check that bag clamps
& hysteroscope stopcock are open Check that tube set is free of obstructions.
Incorrect Tube Set
1 beep
Tube set does not match type necessary for
Aquilex System Replace tube set.
Container change, Press Resume
System automatically detects canister change.
System in Pause mode. Roller wheel and vacuum
pumps stopped. Decit value locked.
Complete container change and press “Pause/Resume”
to restart system
Overpressure Check Stopcock
5 beeps, repeated Intrauterine pressure has exceeded 200mmHg. Open hysteroscope stopcock or remove other source(s)
of blockage from inow tube set to relieve pressure.
Overpressure Open Stopcock
3 beeps
Intrauterine pressure is 10mmHg over the
pressure setting.
Open hysteroscope stopcock or other occlusion to
relieve pressure.
Maximum Pressure Intrauterine pressure exceeds 150 mmHg. The maximum permissible pressure has been reached.
OPERATIONAL MESSAGES