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HRAM Balloon Attachment and Removal ... - Sandhill Scientific

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High Resolution Anorectal Manometry <strong>Balloon</strong><br />

<strong>Attachment</strong> Instructions Using Polyurethane B<strong>and</strong>s<br />

(Part # A86-4100)<br />

Caution: Do Not apply pressure to any sensors while attaching or removing balloons<br />

as this may cause damage to the sensors.<br />

1 4<br />

a.<br />

d.<br />

b.<br />

1. Gather Equipment: a. High Resolution Probe,<br />

b. A86-4100 Polyurethane B<strong>and</strong>s, c. Stimulation<br />

<strong>Balloon</strong> (Part #A86-5070), d. Hemorrhoidal Ligator<br />

2<br />

c.<br />

4. Remove the loading cone from the ligator.<br />

5<br />

Tie-on A<br />

Tie-on B<br />

Tie-on A<br />

5. Insert the probe tip into the stimulation balloon so<br />

that tie-on A is visible in the sleeve of the balloon.<br />

2. There are two grooved tie-on positions for tying<br />

the stimulation balloon in place.<br />

6<br />

3<br />

Tie-on A<br />

3. With the loading cone inserted into the ligating<br />

drum of the Hemorrhoidal Ligator, slide one b<strong>and</strong><br />

over the cone <strong>and</strong> onto the ligating drum.<br />

6. Gently insert the probe <strong>and</strong> balloon into the<br />

lumen of the ligating drum so that the edge<br />

of the drum is aligned with tie-on A,<br />

tipping the ligator slightly.<br />

(continued on back)


High Resolution Anorectal<br />

Manometry <strong>Balloon</strong><br />

<strong>Attachment</strong> Instructions<br />

Using Polyurethane B<strong>and</strong>s<br />

(Part # A86-4100)<br />

High Resolution Anorectal<br />

Manometry <strong>Balloon</strong><br />

REMOVAL Instructions<br />

Using Polyurethane B<strong>and</strong>s<br />

(Part # A86-4100)<br />

7 1<br />

7. Squeeze the h<strong>and</strong>le of the ligator to release the<br />

b<strong>and</strong> onto the probe. Check to make sure the<br />

b<strong>and</strong> is aligned properly in the groove.<br />

1. Gather equipment: Suture <strong>Removal</strong> Scissors <strong>and</strong><br />

Forceps<br />

2<br />

8<br />

Tie-on B<br />

2. Gently stabilize b<strong>and</strong> with forceps taking care not<br />

to apply pressure to the sensors.<br />

8. Slide the tip of the balloon down so that tie-on B<br />

is visible in the nipple at the end of the stimulation<br />

balloon<br />

3<br />

9<br />

3. Slide suture removal scissors under each b<strong>and</strong><br />

<strong>and</strong> cut. Remove balloon from probe <strong>and</strong> discard<br />

balloon.<br />

9. In the same manner as for tie-on A, attach a b<strong>and</strong><br />

onto the probe at tie-on B.<br />

S<strong>and</strong>hill <strong>Scientific</strong>, Inc<br />

9150 Commerce Center Circle, #500<br />

Highl<strong>and</strong>s Ranch, CO 80129 USA<br />

800.468.4556 303.470.7020<br />

Fax: 303.470.2975<br />

PM-11-002, Rev 1.1

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