Questions & answers
Examination of ENDO P® before start
What three (3) things need to be checked by the operator before surgery starts?
- That the correct procedure type is selected.
- That the manual calibration values seem correct
- Perform and confirm the automatic height calibration values. When the height value is correct, you should see water dripping from the tip of the resectoscope. The value will be confirmed by pressing down any pedal. If no irrigation fluid is dripping from the scope, check that all clamps are open and make sure that the inflow channels are in open position. The procedure should then be repeated.
Do we need to perform automatic height calibration for each patient?
Yes! Patients could be at different heights and the pump need to know the height difference between the pump and the patient to calculate accurate delivery pressure
What happens with the pump if a leakage should occur?
After delivering 1000 ml of irrigation fluid without reaching the alculated delivery pressure the pump will stop and send a yellow warning to the operator with the message Leakage.
What needs to be checked if there is a vacuum in the tube set?
Check the tube from the bag to the waste container. Look for potential obstructions such as kinks in the tubing.
What happens if you double press the red pedal?
It increases the pressure by 30% for 2 minutes.
What happens if you hold down the blue pedal for 3 seconds?
Turns the pump on or off.
What happens if you hold down the red pedal for 3 seconds?
Turns the pump on or off.
What happens if you press the blue pedal once?
Flow decreases by 30%.
Why does the pump perform a blood pressure test at the beginning of the procedure?
In order to calculate the optimal delivery pressure (study done at Uddevalla Hospital, Sweden shows that it can reduce blood loss by about 40% and fluid consumption by about 30% at optimal delivery pressure).
What happens if the Endo BP ™ is not connected?
The pump will operate at the pre-set pressure and flow levels; these are shown in the pressure and flow guide.
Why does the inflow pump stop when the operator closes the inflow channel?
Closing of the inflow channel causes an over pressure in the tube - the pump will give a yellow warning for over-pressure and the inflow pump will stop (until you open it again). The same warning occurs if the pressure is too high in the surgical field.
Why does EndoP ® pump deliver irrigation fluid at a flow of 400ml/m at the beginning of each operation or directly after emptying of fluid (filling phase)?
EndoP® will pump irrigation fluid at 400ml/min to reach it´s target pressure as quickly as possible.
Is it possible to reduce the flow during the filling phase?
Yes - by pressing the blue pedal once.
Should the pump be placed above, below or at the same level as the patient?
It should be below the patient, minimum 30 cm.
Which channel should be kept closed during priming and draining?
What is the problem if the pump stops during prime, even if the water reached the tip of the resectoscope?
A clamp is closed, the inflow channel is closed or a kink somewhere in the tube.
Can you change procedure type during surgery?
Yes, you should hold down one of the pedals for 3 seconds and then change procedure type. When the new procedure type is approved, hold down any pedal again for 3 seconds to start the new procedure type.
Do you need to calibrate the system again after changing procedure type?
What happens to the flow if the pump does not reach the target pressure?