Nortech AUTOLITH IEHL User manual

The AUTOLITH System
Quick Reference and Information Guide
Getting STARTED
Turn on the power “ON” switch after plugging the AUTOLITH®System into a
proper power outlet. Attach the foot-pedal to the front panel foot-pedal port and
place the sterilized EHL Probe and Extender Cable onto the sterile field using
proper sterile technique.
Connecting the EHL Probe
Connect the EHL probe to the end of the extender cable opposite
the square black ferrite. Pass the remaining end of the extender
cable to the O.R. circulator.
EHL Probe Recognition
The O.R. circulating nurse should then connect the remaining end of the
extender cable to the front panel “PROBE” port. Notice the “Connect
Probe” message change to indicate the size of the EHL probe that has
been connected, i.e. 1.9Fr. (.63mm). The AUTOLITH®System will now
deliver the precise amount of energy specific to the size of the
connected EHL probe.
The Endoscope and EHL Probe
The doctor should now prepare to fragment the stone. Careful insertion of the EHL probe into the
appropriate endoscope working channel is now accomplished and treatment of the stone is ready
to start. Using direct visualization, the EHL probe tip and the stone are sighted. Normal
physiological SALINE (premixed bags of .9% normal saline) should be used for irrigation at all
times.
Power
Start LOW and increase the power if needed for
effective stone fragmentation.
The total power range is 10% to 100%
Suggested to start: 30%-40% Power
®
Indicated for:
Urinary & Biliary
Stones
Align the green lines to connect
BiPolar Electro-Hydraulic Lithotripsy

Northgate Technologies Inc. • 1591 Scottsdale Court • Elgin Illinois 60123
Toll Free 800 348-0424 • 847 608-8900 • www.northgate-tech.com
™/® trademarks and registered trademarks of or used under license by NORTHGATE Technologies Inc.
Ordering Information: Disposable BiPolar EHL Probes
9-195-371......1.9fr. (0.63mm) Biliary Probe (375cm)(Sterile) 1/Box
9-195-25 ……1.9fr. (0.63mm) Biliary Probe (250cm)(Sterile) 1/Box
9-196-12 ….. 1.9fr. (0.63mm) Ureteral Probe (120cm)(Sterile) 3/Box
9-900-54 ….. 9.0fr. (3.0mm) Urinary Bladder Probe (54cm)(Sterile) 3/Box
9-001-00 ….. Pneumatic Foot Switch
9-002-00 ….. Extender Cable
9-003-00 ….. U.S. Power Cord
The OUTPUT light will flash every time a shot has been triggered.
Note:
• Using higher power settings and a higher number of shots
may reduce probe life.
• The most effective stone fragmentation occurs with the end
of the EHL probe 1-2mm from the stones surface.
• Press the Standby button to avoid
unintentional probe firings. This feature is
useful if the scope and EHL probe are brought
outside of the body.
• Press Total Shots to see how many shots
have been discharged.
Frequency of Shots
This adjusts how fast the selected number of shots are
delivered. For stones that are free to move or bounce
away, select fewer shots at a higher frequency. A rate
of 30 shots per second is the highest (fast) frequency
setting. A rate of 1shot per second is the slowest
frequency setting. Suggested setting: 30/sec.
Number of Shots
Again, if the stone can move or bounce away, select
fewer shots. A maximum of 60 shots delivered over 2
seconds is the maximum number of shots that can be
fired with 1 foot-pedal depression.
Suggested setting: 3-5 shots per foot-pedal
depression.
Keeping the probe tip 1-2mm
from the stone surface is ideal.
82-00040-1 Rev. B