Insufflation

Question 1

Can you use the Veress adapter with the 5-8mm cannula seal?

Answer 1

It is not mechanically compatible. May not provide optimal performance.

Question 2

How do you set up insufflation?

Answer 2

1. tap the drop down menu and select the appropriate operational mode (standard or thoracic)
2. Tap the up and down arrows to set the insufflation pressure
3. Set the flow rate
4. To extract smoke, set the smoke evacuation mode.
5. Set the flow direction

Question 3

What are the two modes for insufflation?

Answer 3

Standard and Thoracic

Question 4

What cannula seal does the veress adapter work with?

Answer 4

the universal seal, not compatible with the 5-8mm canula seal or the 12mm seal

Question 5

What happens if you try to exceed the abdominal pressure?

Answer 5

A message will appear when attempting to exceed 15mm hg (standard) 10mm hg (thoracic)

Question 6

What are the presets in standard?

Answer 6

5, 20, or 40 l/min

Question 7

What happens if there is a leak in insufflation

Answer 7

increase the flow rate to maintain the cavity pressure

Question 8

What are the suggested minimums for smoke evac

Answer 8

Low: 8
Med: 11standard / 10 thoracic
High: 14 standard / 12 thoracic
Auto: 17 standard / 12 thoracic

Question 9

What happens in auto smoke evacuation?

Answer 9

it will turn on with each depression of an energy pedal and is paused when not using energy to conserve CO2

Question 10

What is first entry phase?

Answer 10

part of standard mode that aids in initial insufflation and port placement by limiting auto overpressure venting

During the first 10 minutes, only pressures over 45 mm hg will trigger venting

Question 11

When does first phase begin

Answer 11

automatically in standard mode when insufflation is started with a flow rate of 5l/min or less and smoke evac is off.

Question 12

What happens if smoke evac is turned on during first phase?

Answer 12

if flow rate is set less than 2l/min first phase is exited. When set to auto, pressing the energy pedal will also exit first phase and restore all levels of overpressure venting

Question 13

What are the settings for first entry mode?

Answer 13

Standard mode 5 l/min or less, smoke evac set to off

Question 14

What should you do before placing the veress needle

Answer 14

flush the tube set with CO2 to avoid embolism

Question 15

When may you get an overpressure warning

Answer 15

• a closed stopcock
• an improperly placed veress needle

Question 16

What are some ways of minimizing kinking in the tubing?

Answer 16

• route tubing with adequate strain relief and avoid routing over arms

Question 17

How man operation modes can a surgeon have for insufflation?

Answer 17

Each operating mode give the option to set preset settings. This can be done after the surgeon logs into their account

Question 18

Can I edit the presets once they are applied?

Answer 18

Yes, but you have to navigate back to the edit tab. If you change the settings during the procedure, it will bump you out of the preset mode

Question 19

What is the purpose of the miniscreen?

Answer 19

This is used for a mid-procedure restart - the insufflator remains active and settings can be adjusted through the mini screen

Question 20

What happens during a power loss?

Answer 20

the insufflator will lose power and the mini screen will not display. Insufflator will not function until power is restored and a backup insufflator may be required.