BARD
Peripheral Vascular Systems
Arteriovenous Sheath Tunneler Set and Sterilization Cassette Information For Use
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Arteriovenous (AV) Sheath Tunneler Set and Sterilization Cassette INFORMATION FOR USE Indication The Arteriovenous Sheath Tunneler (AV Sheath Tunneler) is intended to aid in creating subcutaneous tunnels for the placement of vascular prostheses (grafts) for arteriovenous access procedures. The Tunneler will facilitate the placement of externally supported grafts up to 7mm I.D. A Tunneler Sterilization Cassette is provided to hold and protect the Tunneler components when not in use and to allow penetration of steam during sterilization. The Cassette is to be used with an appropriate sterilization wrap. Description The AV Sheath Tunneler consists of four components, that when assembled create a single unit device. The Tunneler components include the Handle, Inner Rod, Outer Sheath, and Tip (reference Figure 1). Figure 1 Handle
Outer Sheath Inner Rod
Tip
Both the Tunneler and the Tunneler Sterilization Cassette are reusable medical devices. The Tunneler components are made of medical grade stainless steel. The Tunneler Sterilization Cassette is composed of Radel™ R (polyphenylsulfone) and has four medical grade stainless steel latches. These materials are designed to withstand repeated use, cleaning, and resterilization. Precautions 1. Prior to utilizing the AV Sheath Tunneler, verify that the vascular graft outside diameter fits within the Sheath and the graft length is longer than the tissue tunnel to be created. Failure to do so may make it difficult to achieve optimal graft placement. 2. Care should be exercised to protect the Tunneler from mechanical damage. Rough handling may mar the surface of the Tunneler. 3. Do not soak Tunneler components in saline or bleach solutions. Doing so could cause damage to component surfaces. 4. The Tunneler is supplied non-sterile and must be thoroughly cleaned and sterilized prior to each use. Cleaning / sterilization of the Tunneler prior to use is the responsibility of the healthcare facility. Cleaning Prior To Sterilization Personnel should wear appropriate protective attire when handling the AV Sheath Tunneler components and the Tunneler Sterilization Cassette. Immediately after use, completely disassemble the Tunneler and rinse the components and the Tunneler Sterilization Cassette in cool running tap water, utilizing brushing if needed, to aid in the removal of visible debris. Use appropriate brushes that are compatible with stainless steel surgical instruments. A mechanical cleaning system or manual cleaning method may be used to clean the Tunneler components and the Tunneler Sterilization Cassette. Consult the mechanical cleaning system and cleaning agent manufacturer’s instructions for cleaning surgical instruments. The following manual cleaning method is suggested: 1. Use appropriate brushes that are compatible with stainless steel surgical instruments to aid in cleaning the inner lumen of the Sheath and crevices on the threaded portions of the Rod, Tip, and Handle. Remove all particles of adhering tissue and dried blood from the Tunneler Sterilization Cassette and the disassembled Tunneler components using cool running tap water, scrubbing with appropriate brushes to aid in cleaning the inner lumen of the Sheath and crevices on the threaded portions of the Rod, Tip, and Handle. The Tunneler components and Cassette should then be soaked in water and mild, enzymatic detergent. Prepare the enzymatic detergent solution per the detergent manufacturer’s instructions. Soak the Tunneler components and Cassette for ten minutes. Rinse the Tunneler components and the Tunneler Sterilization Cassette in distilled water to remove all traces of detergents and debris. (1)
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Caution: Federal (USA) law restricts this device to sale by or on the order of a physician.
2. Place disassembled Tunneler components into an ultrasonic cleaning device with freshly prepared enzymatic detergent per manufacturer’s instructions, for a minimum of 15 minutes. NOTE: If an ultrasonic cleaning device is not available, continue to soak/clean in enzymatic detergent for a minimum of 30 minutes. 3. Rinse the Tunneler components and the Tunneler Sterilization Cassette in distilled water to remove all traces of detergents and debris. Allow all Tunneler components and the Tunneler Sterilization Cassette to air dry. 4. It is important to inspect all Tunneler components and the Tunneler Sterilization Cassette to insure that they are clean and free of damage prior to sterilization. Damage that could prevent proper function of the Tunneler includes scratches, cross-threading, etching, pitting, burrs, nicks, dents or cracks. For proper use, the Tunneler Sterilization Cassette should latch when closed and should be free of any structural damage. Reference Precautions #2, #3 and #4. Sterilization After cleaning and inspection, all disassembled AV Sheath Tunneler components should be placed in the Tunneler Sterilization Cassette. Prior to use, the Tunneler Sterilization Cassette must be enclosed in an appropriate commercialized sterilization wrap used in accordance with the wrap manufacturer’s instructions. Warning: Do not stack Tunneler Sterilization Cassettes during sterilization period. Sterilize the Tunneler using the preferred cycle parameters: Using a gravity displacement steam sterilizer: Temperature: at or above 250°F (121°C) Exposure Time: 30 minutes Drying Time: 45 minutes Temperature: at or above 270°F (132°C) Exposure Time: 15 minutes Drying Time: 45 minutes Using a pre-vacuum (high vacuum) steam sterilizer: Temperature: at or above 270°F (132°C) Exposure Time: 3 minutes Drying Time: 45 minutes Prior to opening the sterilization wrap, inspect the wrap for tears, pinholes, or other damage that might compromise sterility. The Cassette must be enclosed in an appropriate commercially available sterilization wrap in order to preserve sterility after processing. Using the Tunneler 1. Remove the sterile AV Sheath Tunneler components from the Tunneler Sterilization Cassette using appropriate aseptic technique. 2. To assemble the sterile Tunneler components: Thread and hand tighten the Tip to either end of the selected Rod. Slide Sheath over Rod so that the exposed threaded end of the Rod extends beyond the Sheath end. Carefully secure (thread) the Handle onto the exposed fully threaded end of the Rod. Hand-tighten the assembly, making sure that the shoulders of the Tip and Handle are snug against the ends of the Sheath. 3. Follow standard surgical practice to create entrance and exit incisions for the Tunneler. 4. Use the sterile assembled Tunneler to create a tissue tunnel connecting the entrance and exit incisions. 5. When the Tunneler passes through the exit incision site and a satisfactory tunnel has been created, unscrew the Handle 1/2 turn, and then completely remove the Tip from the Rod. 6. When tunneling is completed and the Tip will not be needed for the remainder of the procedure, remove the Tip from the surgical field and return it to the Tunneler Sterilization Cassette. Positioning the AV Graft Option 1: After ensuring Sheath position is optimum, remove Rod and Handle assembly, leaving the Sheath in place. Feed graft into Sheath using a gentle pushing method. Do not twist the graft. Visualize the orientation line to verify accurate placement. When graft has been pushed into position within the Sheath, hold graft at the exit incision site, grasp the protruding Sheath end and carefully pull (remove) the Sheath from the tissue tunnel, leaving the graft properly placed inside the tissue tunnel.
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Reference Precaution #1. Option 2: Secure (tie) the graft onto the Rod by placing a suture through the tapered hole at the exposed end of the Rod. Verify that the vascular graft outside diameter fits within the Sheath and the graft length is longer than the tissue tunnel. Carefully pull the graft through the Sheath, using the Handle and Rod assembly. When the graft has been pulled into position within the Sheath, release it from the Rod by cutting the suture. While holding the graft at the exit incision site, grasp the protruding Sheath end and carefully pull (remove) the Sheath from the tissue tunnel, leaving the graft properly placed inside the tissue tunnel. Proceed with the vascular anastomoses. Reference Precaution #1. Maintenance Procedures Proper maintenance of the AV Sheath Tunneler requires careful handling and inspection of each Tunneler component and the Tunneler Sterilization Cassette. Particular care should be taken to avoid damaging the threaded portions of the Rod, Handle, and Tip. If these areas are damaged through improper handling (i.e., dropping, cross-threading, brushing and/or cleaning with abrasives) the parts may not fit together properly. Do not use the Tunneler if such damage occurs. Contact Bard Peripheral Vascular for appropriate replacement parts and ordering information. Warranty Bard Peripheral Vascular, Inc. warrants to the first purchaser of this product that this product will be free from defects in materials and workmanship for a period of one year from the date of first purchase and liability under this limited product warranty will be limited to repair or replacement of the defective product, in Bard Peripheral Vascular’s sole discretion or refunding your net price paid. Wear and tear from normal use or defects resulting from misuse of this product are not covered by this limited warranty. TO THE EXTENT ALLOWABLE BY APPLICABLE LAW, THIS LIMITED PRODUCT WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, WHETHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. IN NO EVENT WILL BARD PERIPHERAL VASCULAR BE LIABLE TO YOU FOR ANY INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES RESULTING FROM YOUR HANDLING OR USE OF THIS PRODUCT. Some states/countries do not allow an exclusion of implied warranties, incidental or consequential damages. You may be entitled to additional remedies under the laws of your state/country. An issue or revision date and a revision number for these instructions are included for the user's information on the last page of this booklet. In the event 36 months have elapsed between this date and product use, the user should contact Bard Peripheral Vascular Inc. to see if additional product information is available.
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ȉȩıȠIJȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢȩıȠțĮȚȘțĮıȑIJĮĮʌȠıIJİȓȡȦıȒȢIJȠȣİȓȞĮȚİʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝİȢȚĮIJȡȚțȑȢıȣıțİȣȑȢȉĮ İȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢİȓȞĮȚțĮIJĮıțİȣĮıȝȑȞĮĮʌȩĮȞȠȟİȓįȦIJȠȤȐȜȣȕĮȚĮIJȡȚțȠȪIJȪʌȠȣǾțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢ IJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢİȓȞĮȚțĮIJĮıțİȣĮıȝȑȞȘĮʌȩ5DGHO5 ʌȠȜȣijĮȚȞȣȜȠıȠȣȜijȩȞȘ țĮȚijȑȡİȚIJȑııİȡȚȢĮıijȐȜİȚİȢĮʌȩ ĮȞȠȟİȓįȦIJȠȤȐȜȣȕĮȚĮIJȡȚțȠȪIJȪʌȠȣȉĮȣȜȚțȐĮȣIJȐİȓȞĮȚıȤİįȚĮıȝȑȞĮȖȚĮȞĮĮȞIJȑȤȠȣȞıİİʌĮȞİȚȜȘȝȝȑȞȘȤȡȒıȘțĮșĮȡȚıȝȩțĮȚ İʌĮȞĮʌȠıIJİȓȡȦıȘ ȆȡȠijȣȜȐȟİȚȢ ȆȡȠIJȠȪȤȡȘıȚȝȠʌȠȚȒıİIJİIJȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢȝİĮȡIJȘȡȚȠijȜİȕȚțȩșȘțȐȡȚȕİȕĮȚȦșİȓIJİȩIJȚȘİȟȦIJİȡȚțȒįȚȐȝİIJȡȠȢIJȠȣ ĮȖȖİȚĮțȠȪȝȠıȤİȪȝĮIJȠȢİijĮȡȝȩȗİȚȝȑıĮıIJȠșȘțȐȡȚțĮȚȩIJȚIJȠȝȒțȠȢIJȠȣȝȠıȤİȪȝĮIJȠȢİȓȞĮȚȝİȖĮȜȪIJİȡȠĮʌȩIJȘıȒȡĮȖȖĮʌȠȣșĮ ıȤȘȝĮIJȚıIJİȓıIJȠȞȚıIJȩǻȚĮijȠȡİIJȚțȐșĮİȓȞĮȚįȪıțȠȜȠȞĮİʌȚIJİȣȤșİȓȘȚįĮȞȚțȒIJȠʌȠșȑIJȘıȘIJȠȣȝȠıȤİȪȝĮIJȠȢ ǹʌĮȚIJİȓIJĮȚʌȡȠıȠȤȒȫıIJİIJȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢȞĮʌȡȠıIJĮIJİȪİIJĮȚĮʌȩȝȘȤĮȞȚțȑȢȕȜȐȕİȢȅIJȡĮȤȪȢȤİȚȡȚıȝȩȢİȞįȑȤİIJĮȚȞĮijșİȓȡİȚ IJȘȞİʌȚijȐȞİȚĮIJȠȣİȡȖĮȜİȓȠȣ ȂȘȞİȝȕȣșȓȗİIJİIJĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢıİijȣıȚȠȜȠȖȚțȩȠȡȩȒįȚĮȜȪȝĮIJĮȤȜȦȡȓȞȘȢȀȐIJȚIJȑIJȠȚȠșĮ ȝʌȠȡȠȪıİȞĮʌȡȠțĮȜȑıİȚȗȘȝȚȐıIJȚȢİʌȚijȐȞİȚİȢIJȦȞİȟĮȡIJȘȝȐIJȦȞ ȉȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢʌĮȡȑȤİIJĮȚȝȘıIJİȓȡȠțĮȚșĮʌȡȑʌİȚȞĮțĮșĮȡȓȗİIJĮȚıȤȠȜĮıIJȚțȐțĮȚȞĮĮʌȠıIJİȚȡȫȞİIJĮȚʌȡȚȞĮʌȩțȐșİ ȤȡȒıȘȅțĮșĮȡȚıȝȩȢțĮȚȘĮʌȠıIJİȓȡȦıȘIJȠȣİȡȖĮȜİȓȠȣʌȡȚȞĮʌȩIJȘȤȡȒıȘĮʌȠIJİȜİȓİȣșȪȞȘIJȠȣȚįȡȪȝĮIJȠȢʌİȡȓșĮȜȥȘȢ ȀĮșĮȡȚıȝȩȢʌȡȚȞĮʌȩIJȘȞĮʌȠıIJİȓȡȦıȘ ȉȠʌȡȠıȦʌȚțȩșĮʌȡȑʌİȚȞĮijȠȡȐțĮIJȐȜȜȘȜȘʌȡȠıIJĮIJİȣIJȚțȒʌİȡȚȕȠȜȒțĮIJȐIJȠȤİȚȡȚıȝȩIJȦȞİȟĮȡIJȘȝȐIJȦȞIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢ ıȒȡĮȖȖĮȢȝİĮȡIJȘȡȚȠijȜİȕȚțȩșȘțȐȡȚțĮȚIJȘȢțĮıȑIJĮȢĮʌȠıIJİȓȡȦıȘȢIJȠȣİȡȖĮȜİȓȠȣǹȝȑıȦȢȝİIJȐIJȘȤȡȒıȘĮʌȠıȣȞĮȡȝȠȜȠȖȒıIJİʌȜȒȡȦȢ IJȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢțĮȚİțʌȜȪȞİIJİIJĮİȟĮȡIJȒȝĮIJĮțĮȚIJȘȞțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢIJȠȣİȡȖĮȜİȓȠȣıİțȡȪȠIJȡİȤȠȪȝİȞȠȞİȡȩ ȕȡȪıȘȢȤȡȘıȚȝȠʌȠȚȫȞIJĮȢȕȠȪȡIJıĮİȐȞİȓȞĮȚĮʌĮȡĮȓIJȘIJȠʌȡȠțİȚȝȑȞȠȣȞĮĮʌȠȝĮțȡȣȞșȠȪȞIJĮȠȡĮIJȐȣʌȠȜİȓȝȝĮIJĮȋȡȘıȚȝȠʌȠȚȒıIJİ ȕȠȪȡIJıİȢțĮIJȐȜȜȘȜİȢȖȚĮȤİȚȡȠȣȡȖȚțȐİȡȖĮȜİȓĮĮʌȩĮȞȠȟİȓįȦIJȠȤȐȜȣȕĮīȚĮȞĮțĮșĮȡȓıİIJİIJĮİȟĮȡIJȒȝĮIJĮțĮȚIJȘȞțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢ IJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢȝʌȠȡİȓIJİȞĮȤȡȘıȚȝȠʌȠȚȒıİIJİțȐʌȠȚȠȝȘȤĮȞȚțȩıȪıIJȘȝĮțĮșĮȡȚıȝȠȪȒțȐʌȠȚĮȝȑșȠįȠțĮșĮȡȚıȝȠȪ įȚĮȤİȚȡȩȢȈȣȝȕȠȣȜİȣIJİȓIJİIJȚȢȠįȘȖȓİȢȖȚĮIJȠȞțĮșĮȡȚıȝȩȤİȚȡȠȣȡȖȚțȫȞİȡȖĮȜİȓȦȞIJȠȣțĮIJĮıțİȣĮıIJȒIJȠȣıȣıIJȒȝĮIJȠȢȝȘȤĮȞȚțȠȪ țĮșĮȡȚıȝȠȪțĮȚIJȠȣțĮIJĮıțİȣĮıIJȒIJȠȣțĮșĮȡȚıIJȚțȠȪȝȑıȠȣ ȈȣȞȚıIJȐIJĮȚȘʌĮȡĮțȐIJȦȝȑșȠįȠȢțĮșĮȡȚıȝȠȪįȚĮȤİȚȡȩȢ īȚĮIJȠȞțĮșĮȡȚıȝȩIJȠȣİıȦIJİȡȚțȠȪĮȣȜȠȪIJȠȣșȘțĮȡȚȠȪțĮȚIJȦȞİıȠȤȫȞIJȦȞIJȝȘȝȐIJȦȞIJȘȢȡȐȕįȠȣIJȠȣȐțȡȠȣțĮȚIJȘȢȜĮȕȒȢʌȠȣ ijȑȡȠȣȞıʌİȓȡȦȝĮȤȡȘıȚȝȠʌȠȚȒıIJİȕȠȪȡIJıİȢțĮIJȐȜȜȘȜİȢȖȚĮȤİȚȡȠȣȡȖȚțȐİȡȖĮȜİȓĮĮʌȩĮȞȠȟİȓįȦIJȠȤȐȜȣȕĮǹijĮȚȡȑıIJİȩȜĮIJĮ ȣʌȠȜİȓȝȝĮIJĮʌȡȠıțȠȜȜȘȝȑȞȠȣȚıIJȠȪțĮȚȟȘȡĮȝȑȞȠȣĮȓȝĮIJȠȢĮʌȩIJȘȞțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢțĮȚIJĮĮʌȠıȣȞĮȡȝȠȜȠȖȘȝȑȞĮİȟĮȡIJȒȝĮIJĮ IJȠȣİȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢȤȡȘıȚȝȠʌȠȚȫȞIJĮȢțȡȪȠIJȡİȤȠȪȝİȞȠȞİȡȩȕȡȪıȘȢțĮȚIJȡȓȕȠȞIJĮȢȝİțĮIJȐȜȜȘȜİȢȕȠȪȡIJıİȢȖȚĮIJȠȞ țĮșĮȡȚıȝȩIJȠȣİıȦIJİȡȚțȠȪĮȣȜȠȪIJȠȣșȘțĮȡȚȠȪțĮȚIJȦȞİıȠȤȫȞIJȦȞIJȝȘȝȐIJȦȞIJȘȢȡȐȕįȠȣIJȠȣȐțȡȠȣțĮȚIJȘȢȜĮȕȒȢʌȠȣijȑȡȠȣȞ (22)
ıʌİȓȡȦȝĮȉĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢțĮȚȘțĮıȑIJĮșĮʌȡȑʌİȚıIJȘıȣȞȑȤİȚĮȞĮİȝȕȣșȚıIJȠȪȞıİȞİȡȩȝİȒʌȚȠ İȞȗȣȝȚțȩțĮșĮȡȚıIJȚțȩȆȡȠİIJȠȚȝȐıIJİIJȠįȚȐȜȣȝĮIJȠȣİȞȗȣȝȚțȠȪțĮșĮȡȚıIJȚțȠȪıȪȝijȦȞĮȝİIJȚȢȠįȘȖȓİȢIJȠȣțĮIJĮıțİȣĮıIJȒǼȝȕȣșȓıIJİ IJĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢțĮȚIJȘȞțĮıȑIJĮİʌȓįȑțĮȜİʌIJȐǼțʌȜȪȞİIJİȝİĮʌİıIJĮȖȝȑȞȠȞİȡȩIJĮİȟĮȡIJȒȝĮIJĮIJȠȣ İȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢțĮȚIJȘȞțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢIJȠȣİȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢȖȚĮȞĮĮʌȠȝĮțȡȪȞİIJİțȐșİȓȤȞȠȢ ĮʌȠȡȡȣʌĮȞIJȚțȠȪțĮȚȣʌȠȜİȚȝȝȐIJȦȞ ȉȠʌȠșİIJȒıIJİIJĮĮʌȠıȣȞĮȡȝȠȜȠȖȘȝȑȞĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢȝȑıĮıİıȣıțİȣȒțĮșĮȡȚıȝȠȪȝİȣʌİȡȒȤȠȣȢİʌȓ ȜİʌIJȐIJȠȣȜȐȤȚıIJȠȞȝĮȗȓȝİİȞȗȣȝȚțȩĮʌȠȡȡȣʌĮȞIJȚțȩʌĮȡĮıțİȣĮıȝȑȞȠʌȡȩıijĮIJĮıȪȝijȦȞĮȝİIJȚȢȠįȘȖȓİȢIJȠȣțĮIJĮıțİȣĮıIJȒ ȈǾȂǼǿȍȈǾǼȐȞįİȞȣʌȐȡȤİȚįȚĮșȑıȚȝȘıȣıțİȣȒțĮșĮȡȚıȝȠȪȝİȣʌİȡȒȤȠȣȢıȣȞİȤȓıIJİIJȘȞİȝȕȐʌIJȚıȘIJȠȞțĮșĮȡȚıȝȩıİ İȞȗȣȝȚțȩĮʌȠȡȡȣʌĮȞIJȚțȩİʌȓȜİʌIJȐIJȠȣȜȐȤȚıIJȠȞ ǼțʌȜȪȞİIJİȝİĮʌİıIJĮȖȝȑȞȠȞİȡȩIJĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢțĮȚIJȘȞțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢIJȠȣİȡȖĮȜİȓȠȣ ıȘȡĮȖȖȠʌȠȓȘıȘȢȖȚĮȞĮĮʌȠȝĮțȡȪȞİIJİțȐșİȓȤȞȠȢĮʌȠȡȡȣʌĮȞIJȚțȠȪțĮȚȣʌȠȜİȚȝȝȐIJȦȞǹijȒıIJİȩȜĮIJĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣ ıȘȡĮȖȖȠʌȠȓȘıȘȢțĮȚIJȘȢțĮıȑIJĮȢĮʌȠıIJİȓȡȦıȘȢȞĮıIJİȖȞȫıȠȣȞıIJȠȞĮȑȡĮ ȆȡȚȞĮʌȩIJȘȞĮʌȠıIJİȓȡȦıȘİȓȞĮȚıȘȝĮȞIJȚțȩȞĮİȜȑȖȟİIJİȩȜĮIJĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢțĮȚIJȘȞțĮıȑIJĮ ĮʌȠıIJİȓȡȦıȘȢȖȚĮȞĮȕİȕĮȚȦșİȓIJİȩIJȚİȓȞĮȚțĮșĮȡȐțĮȚįİȞijȑȡȠȣȞȗȘȝȚȑȢȈIJȚȢȗȘȝȚȑȢʌȠȣșĮȝʌȠȡȠȪıĮȞȞĮİȝʌȠįȓıȠȣȞIJȘıȦıIJȒ ȜİȚIJȠȣȡȖȓĮIJȠȣİȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢʌİȡȚȜĮȝȕȐȞȠȞIJĮȚȠȚĮȝȣȤȑȢȘİȝʌȜȠțȒIJȦȞıʌİȚȡȦȝȐIJȦȞȠȚȤĮȡĮȖȑȢIJĮ³ıțĮıȓȝĮIJĮ´ȠȚ İʌȚijĮȞİȚĮțȑȢĮȞȦȝĮȜȓİȢȠȚİȖțȠʌȑȢIJĮȕĮșȠȣȜȫȝĮIJĮțĮȚȠȚȡȦȖȝȑȢīȚĮȞĮȜİȚIJȠȣȡȖİȓıȦıIJȐȘțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢIJȠȣ İȡȖĮȜİȓȠȣıȘȡĮȖȖȠʌȠȓȘıȘȢșĮʌȡȑʌİȚȞĮĮıijĮȜȓȗİȚȩIJĮȞțȜİȓȞİȚțĮȚȞĮȝȘijȑȡİȚțĮȞİȞȩȢİȓįȠȣȢįȠȝȚțȒȕȜȐȕȘ ǹȞĮIJȡȑȟIJİıIJȚȢʌȡȠijȣȜȐȟİȚȢĮȡțĮȚ ǹʌȠıIJİȓȡȦıȘ ȂİIJȐĮʌȩțĮșĮȡȚıȝȩțĮȚȑȜİȖȤȠȩȜĮIJĮĮʌȠıȣȞĮȡȝȠȜȠȖȘȝȑȞĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢȝİĮȡIJȘȡȚȠijȜİȕȚțȩșȘțȐȡȚ șĮʌȡȑʌİȚȞĮIJȠʌȠșİIJȠȪȞIJĮȚıIJȘȞțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢIJȠȣİȡȖĮȜİȓȠȣȆȡȚȞĮʌȩIJȘȤȡȒıȘȘțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢșĮʌȡȑʌİȚȞĮ ıȣıțİȣȐȗİIJĮȚıİțĮIJȐȜȜȘȜȠʌİȡȚIJȪȜȚȖȝĮĮʌȠıIJİȓȡȦıȘȢIJȠȣİȝʌȠȡȓȠȣıȪȝijȦȞĮȝİIJȚȢȠįȘȖȓİȢIJȠȣțĮIJĮıțİȣĮıIJȒIJȠȣʌİȡȚIJȣȜȓȖȝĮIJȠȢ ȆȡȠİȚįȠʌȠȓȘıȘȂȘȞıIJȠȚȕȐȗİIJİIJȚȢțĮıȑIJİȢĮʌȠıIJİȓȡȦıȘȢIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢțĮIJȐIJȘįȚȐȡțİȚĮIJȘȢʌİȡȚȩįȠȣ ĮʌȠıIJİȓȡȦıȘȢ ǹʌȠıIJİȚȡȫıIJİIJȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢȤȡȘıȚȝȠʌȠȚȫȞIJĮȢIJȚȢʌĮȡĮȝȑIJȡȠȣȢIJȠȣțȪțȜȠȣʌȠȣʌȡȠIJȚȝȐIJİ ȂİȤȡȒıȘĮʌȠıIJİȚȡȦIJȒĮIJȝȠȪȝİȝİIJĮIJȩʌȚıȘȕĮȡȪIJȘIJĮȢ ĬİȡȝȠțȡĮıȓĮ &ȒȣȥȘȜȩIJİȡȘ ȋȡȩȞȠȢȑțșİıȘȢ ȜİʌIJȐ ȋȡȩȞȠȢıIJİȖȞȫȝĮIJȠȢ ȜİʌIJȐ ĬİȡȝȠțȡĮıȓĮ&ȒȣȥȘȜȩIJİȡȘ ȋȡȩȞȠȢȑțșİıȘȢ ȜİʌIJȐ ȋȡȩȞȠȢıIJİȖȞȫȝĮIJȠȢ ȜİʌIJȐ ȂİȤȡȒıȘĮʌȠıIJİȚȡȦIJȒĮIJȝȠȪȝİʌȡȠțĮIJİȡȖĮıȓĮțİȞȠȪ ȣȥȘȜȩțİȞȩ ĬİȡȝȠțȡĮıȓĮ &ȒȣȥȘȜȩIJİȡȘ ȋȡȩȞȠȢȑțșİıȘȢ ȜİʌIJȐ ȋȡȩȞȠȢıIJİȖȞȫȝĮIJȠȢ ȜİʌIJȐ ȆȡȠIJȠȪĮȞȠȓȟİIJİIJȠʌİȡȚIJȪȜȚȖȝĮĮʌȠıIJİȓȡȦıȘȢİȜȑȖȟIJİİȐȞȣʌȐȡȤȠȣȞıȤȚıȓȝĮIJĮȝȚțȡȑȢȠʌȑȢȒȐȜȜİȢȗȘȝȚȑȢıIJȠʌİȡȚIJȪȜȚȖȝĮʌȠȣșĮ ȝʌȠȡȠȪıĮȞȞĮįȚĮțȣȕİȪıȠȣȞIJȘıIJİȚȡȩIJȘIJĮǾțĮıȑIJĮșĮʌȡȑʌİȚȞĮıȣıțİȣȐȗİIJĮȚıİțĮIJȐȜȜȘȜȠʌİȡȚIJȪȜȚȖȝĮĮʌȠıIJİȓȡȦıȘȢʌȠȣ įȚĮIJȓșİIJĮȚıIJȠİȝʌȩȡȚȠʌȡȠțİȚȝȑȞȠȣȞĮįȚĮIJȘȡİȓIJĮȚȘıIJİȚȡȩIJȘIJĮȝİIJȐIJȘȞİʌİȟİȡȖĮıȓĮ ȋȡȒıȘIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢ ǹijĮȚȡȑıIJİIJĮıIJİȓȡĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢȝİĮȡIJȘȡȚȠijȜİȕȚțȩșȘțȐȡȚĮʌȩIJȘȞțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢ İijĮȡȝȩȗȠȞIJĮȢțĮIJȐȜȜȘȜȘȐıȘʌIJȘIJİȤȞȚțȒ īȚĮȞĮıȣȞĮȡȝȠȜȠȖȒıİIJİIJĮıIJİȓȡĮİȟĮȡIJȒȝĮIJĮIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢǺȚįȫıIJİțĮȚıijȓȟIJİȝİIJȠȤȑȡȚIJȠȐțȡȠıİȑȞĮĮʌȩ IJĮįȪȠȐțȡĮIJȘȢİʌȚȜİȖȝȑȞȘȢȡȐȕįȠȣȈȪȡİIJİIJȠșȘțȐȡȚİʌȐȞȦıIJȘȡȐȕįȠȑIJıȚȫıIJİIJȠİțIJİșİȚȝȑȞȠȐțȡȠIJȘȢȡȐȕįȠȣʌȠȣijȑȡİȚ ıʌİȓȡȦȝĮȞĮİțIJİȓȞİIJĮȚʌȑȡĮĮʌȩIJȠȐțȡȠIJȠȣșȘțĮȡȚȠȪȈIJİȡİȫıIJİ ȕȚįȫıIJİ ʌȡȠıİțIJȚțȐIJȘȜĮȕȒİʌȐȞȦıIJȠİțIJİșİȚȝȑȞȠȐțȡȠIJȘȢ ȡȐȕįȠȣʌȠȣijȑȡİȚıʌİȓȡȦȝĮȈijȓȟIJİȝİIJȠȤȑȡȚIJȘįȚȐIJĮȟȘijȡȠȞIJȓȗȠȞIJĮȢȫıIJİȠȚĮȣȤȑȞİȢIJȠȣȐțȡȠȣțĮȚIJȘȢȜĮȕȒȢȞĮİijĮȡȝȩıȠȣȞ ıIJĮșİȡȐıIJĮȐțȡĮIJȠȣșȘțĮȡȚȠȪ ǹțȠȜȠȣșȒıIJİIJȣʌȚțȒȤİȚȡȠȣȡȖȚțȒʌȡĮțIJȚțȒȖȚĮȞĮİțIJİȜȑıİIJİIJȚȢIJȠȝȑȢİȚıȩįȠȣțĮȚİȟȩįȠȣȖȚĮIJȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢ ȋȡȘıȚȝȠʌȠȚȒıIJİIJȠıIJİȓȡȠıȣȞĮȡȝȠȜȠȖȘȝȑȞȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢȖȚĮȞĮįȘȝȚȠȣȡȖȒıİIJİȝȚĮıȒȡĮȖȖĮıIJȠȞȚıIJȩȘȠʌȠȓĮȞĮ ıȣȞįȑİȚIJȚȢIJȠȝȑȢİȚıȩįȠȣțĮȚİȟȩįȠȣ ǵIJĮȞIJȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢįȚȑȜșİȚĮʌȩIJȠıȘȝİȓȠIJȘȢIJȠȝȒȢİȟȩįȠȣįȘȝȚȠȣȡȖȫȞIJĮȢȝȚĮȚțĮȞȠʌȠȚȘIJȚțȒıȒȡĮȖȖĮȟİȕȚįȫıIJİ IJȘȜĮȕȒțĮIJȐȝȚıȒıIJȡȠijȒțĮȚıIJȘıȣȞȑȤİȚĮĮijĮȚȡȑıIJİİȞIJİȜȫȢIJȠȐțȡȠĮʌȩIJȘȡȐȕįȠ (23)
ǹijȠȪȠȜȠțȜȘȡȦșİȓȘįȚȐȞȠȚȟȘIJȘȢıȒȡĮȖȖĮȢțĮȚIJȠȐțȡȠįİȞȤȡİȚȐȗİIJĮȚʌȜȑȠȞȖȚĮIJȠȣʌȩȜȠȚʌȠIJȘȢįȚĮįȚțĮıȓĮȢĮʌȠȝĮțȡȪȞİIJİIJȠ ȐțȡȠĮʌȩIJȠȤİȚȡȠȣȡȖȚțȩʌİįȓȠțĮȚİʌȚıIJȡȑȥIJİIJȠıIJȘȞțĮıȑIJĮĮʌȠıIJİȓȡȦıȘȢIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢ ȉȠʌȠșȑIJȘıȘIJȠȣĮȡIJȘȡȚȠijȜİȕȚțȠȪȝȠıȤİȪȝĮIJȠȢ ǼʌȚȜȠȖȒǹijȠȪȕİȕĮȚȦșİȓIJİȩIJȚIJȠșȘțȐȡȚȕȡȓıțİIJĮȚıIJȘȞțĮȜȪIJİȡȘįȣȞĮIJȒșȑıȘĮʌȠȝĮțȡȪȞİIJİIJȠıȪıIJȘȝĮȡȐȕįȠȣțĮȚȜĮȕȒȢ ĮijȒȞȠȞIJĮȢ IJȠșȘțȐȡȚıIJȘșȑıȘIJȠȣǼȚıĮȖȐȖİIJİIJȠȝȩıȤİȣȝĮıIJȠșȘțȐȡȚİijĮȡȝȩȗȠȞIJĮȢȝȑșȠįȠİȜĮijȡȐȢȫșȘıȘȢȂȘıȣıIJȡȑijİIJİIJȠ ȝȩıȤİȣȝĮȆĮȡĮIJȘȡȒıIJİIJȘȖȡĮȝȝȒʌȡȠıĮȞĮIJȠȜȚıȝȠȪȖȚĮȞĮİʌȚȕİȕĮȚȫıİIJİIJȘȞĮțȡȚȕȒIJȠʌȠșȑIJȘıȘǹijȠȪIJȠȝȩıȤİȣȝĮIJȠʌȠșİIJȘșİȓ ıIJȘșȑıȘIJȠȣȝȑıĮıIJȠșȘțȐȡȚțȡĮIJȒıIJİIJȠȝȩıȤİȣȝĮıIJȠıȘȝİȓȠIJȘȢIJȠȝȒȢİȟȩįȠȣʌȚȐıIJİIJȠȐțȡȠIJȠȣșȘțĮȡȚȠȪʌȠȣʌȡȠİȟȑȤİȚțĮȚ IJȡĮȕȒȟIJİ ĮijĮȚȡȑıIJİ ʌȡȠıİțIJȚțȐIJȠșȘțȐȡȚĮʌȩIJȘıȒȡĮȖȖĮIJȠȣȚıIJȠȪĮijȒȞȠȞIJĮȢIJȠȝȩıȤİȣȝĮIJȠʌȠșİIJȘȝȑȞȠțĮIJȐȜȜȘȜĮȝȑıĮıIJȘ ıȒȡĮȖȖĮIJȠȣȚıIJȠȪ ǹȞĮIJȡȑȟIJİıIJȘȞʌȡȠijȪȜĮȟȘĮȡ ǼʌȚȜȠȖȒȈIJİȡİȫıIJİ įȑıIJİ IJȠȝȩıȤİȣȝĮİʌȐȞȦıIJȘȡȐȕįȠIJȠʌȠșİIJȫȞIJĮȢȑȞĮȡȐȝȝĮįȚĮȝȑıȠȣIJȘȢțȦȞȚțȒȢȠʌȒȢıIJȠȐțȡȠIJȘȢ ȡȐȕįȠȣǺİȕĮȚȦșİȓIJİȩIJȚȘİȟȦIJİȡȚțȒįȚȐȝİIJȡȠȢIJȠȣĮȖȖİȚĮțȠȪȝȠıȤİȪȝĮIJȠȢįİȞȣʌİȡȕĮȓȞİȚIJȘȞİıȦIJİȡȚțȒįȚȐȝİIJȡȠIJȠȣșȘțĮȡȚȠȪțĮȚȩIJȚ IJȠȝȒțȠȢIJȠȣȝȠıȤİȪȝĮIJȠȢİȓȞĮȚȝİȖĮȜȪIJİȡȠĮʌȩIJȘıȒȡĮȖȖĮIJȠȣȚıIJȠȪȉȡĮȕȒȟIJİʌȡȠıİțIJȚțȐIJȠȝȩıȤİȣȝĮįȚĮȝȑıȠȣIJȠȣșȘțĮȡȚȠȪ ȤȡȘıȚȝȠʌȠȚȫȞIJĮȢIJȠıȪıIJȘȝĮȜĮȕȒȢțĮȚȡȐȕįȠȣǹijȠȪIJȠȝȩıȤİȣȝĮIJȡĮȕȘȤIJİȓıIJȘșȑıȘIJȠȣȝȑıĮıIJȠșȘțȐȡȚĮʌİȜİȣșİȡȫıIJİIJȠĮʌȩ IJȘȡȐȕįȠțȩȕȠȞIJĮȢIJȠȡȐȝȝĮȀȡĮIJȫȞIJĮȢIJȠȝȩıȤİȣȝĮıIJȠıȘȝİȓȠIJȘȢIJȠȝȒȢİȟȩįȠȣʌȚȐıIJİIJȠȐțȡȠIJȠȣșȘțĮȡȚȠȪʌȠȣʌȡȠİȟȑȤİȚțĮȚ IJȡĮȕȒȟIJİ ĮijĮȚȡȑıIJİ ʌȡȠıİțIJȚțȐIJȠșȘțȐȡȚĮʌȩIJȘıȒȡĮȖȖĮIJȠȣȚıIJȠȪĮijȒȞȠȞIJĮȢIJȠȝȩıȤİȣȝĮIJȠʌȠșİIJȘȝȑȞȠțĮIJȐȜȜȘȜĮȝȑıĮıIJȘ ıȒȡĮȖȖĮIJȠȣȚıIJȠȪȆȡȠȤȦȡȒıIJİıIJȘȞĮȞĮıIJȩȝȦıȘIJȠȣĮȖȖİȓȠȣ ǹȞĮIJȡȑȟIJİıIJȘȞʌȡȠijȪȜĮȟȘĮȡ ǻȚĮįȚțĮıȓİȢıȣȞIJȒȡȘıȘȢ īȚĮIJȘıȦıIJȒıȣȞIJȒȡȘıȘIJȠȣİȡȖĮȜİȓȠȣįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢȝİĮȡIJȘȡȚȠijȜİȕȚțȩșȘțȐȡȚĮʌĮȚIJİȓIJĮȚʌȡȠıİțIJȚțȩȢȤİȚȡȚıȝȩȢțĮȚȑȜİȖȤȠȢțȐșİ İȟĮȡIJȒȝĮIJȠȢIJȠȣİȡȖĮȜİȓȠȣțĮșȫȢțĮȚIJȘȢțĮıȑIJĮȢĮʌȠıIJİȓȡȦıȘȢIJȠȣİȡȖĮȜİȓȠȣǹʌĮȚIJİȓIJĮȚȚįȚĮȓIJİȡȘʌȡȠıȠȤȒȖȚĮȞĮĮʌȠijİȪȖİIJĮȚȘ ʌȡȩțȜȘıȘȗȘȝȚȐȢıIJĮIJȝȒȝĮIJĮIJȘȢȡȐȕįȠȣIJȘȢȜĮȕȒȢțĮȚIJȠȣȐțȡȠȣʌȠȣijȑȡȠȣȞıʌİȓȡȦȝĮǼȐȞĮȣIJȑȢȠȚʌİȡȚȠȤȑȢȑȤȠȣȞȣʌȠıIJİȓȗȘȝȚȐ ȜȩȖȦİıijĮȜȝȑȞȠȣȤİȚȡȚıȝȠȪ ʌȤȜȩȖȦʌIJȫıȘȢİȝʌȜȠțȒȢIJȦȞıʌİȚȡȦȝȐIJȦȞȕȠȣȡIJıȓıȝĮIJȠȢțĮȚȒțĮșĮȡȚıȝȠȪȝİįȚĮȕȡȦIJȚțȐȝȑıĮ IJĮ İȟĮȡIJȒȝĮIJĮʌȚșĮȞȩȞȞĮȝȘȞİijĮȡȝȩȗȠȣȞıȦıIJȐȝİIJĮȟȪIJȠȣȢȂȘȞȤȡȘıȚȝȠʌȠȚİȓIJİIJȠİȡȖĮȜİȓȠįȚȐȞȠȚȟȘȢıȒȡĮȖȖĮȢİȐȞʌȡȠțȪȥİȚIJȑIJȠȚȠȣ İȓįȠȣȢȗȘȝȚȐǼʌȚțȠȚȞȦȞȒıIJİȝİIJȘȞ%DUG3HULSKHUDO9DVFXODUȖȚĮIJĮțĮIJȐȜȜȘȜĮĮȞIJĮȜȜĮțIJȚțȐțĮȚȖȚĮʌȜȘȡȠijȠȡȓİȢʌĮȡĮȖȖİȜȚȫȞ ǼȖȖȪȘıȘ Ǿ%DUG3HULSKHUDO9DVFXODU,QFʌĮȡȑȤİȚİȖȖȪȘıȘʌȡȠȢIJȠȞĮȡȤȚțȩĮȖȠȡĮıIJȒIJȠȣʌȡȠȧȩȞIJȠȢĮȣIJȠȪȩIJȚIJȠʌȡȠȧȩȞĮȣIJȩİȓȞĮȚĮʌĮȜȜĮȖȝȑȞȠ ĮʌȩİȜĮIJIJȫȝĮIJĮȩıȠȞĮijȠȡȐIJĮȣȜȚțȐțĮȚIJȘȞțĮIJĮıțİȣȒȖȚĮʌİȡȓȠįȠİȞȩȢȑIJȠȣȢĮʌȩIJȘȞȘȝİȡȠȝȘȞȓĮIJȘȢʌȡȫIJȘȢĮȖȠȡȐȢǾİȣșȪȞȘıIJĮ ʌȜĮȓıȚĮĮȣIJȒȢIJȘȢʌİȡȚȠȡȚıȝȑȞȘȢİȖȖȪȘıȘȢʌİȡȚȠȡȓȗİIJĮȚıIJȘȞİʌȚıțİȣȒȒĮȞIJȚțĮIJȐıIJĮıȘIJȠȣİȜĮIJIJȦȝĮIJȚțȠȪʌȡȠȧȩȞIJȠȢțĮIJȐIJȘȞ ĮʌȠțȜİȚıIJȚțȒțȡȓıȘIJȘȢ%DUG3HULSKHUDO9DVFXODUȒıIJȘȞİʌȚıIJȡȠijȒIJȘȢțĮșĮȡȒȢIJȚȝȒȢʌȠȣțĮIJĮȕȜȒșȘțİǾʌĮȡȠȪıĮʌİȡȚȠȡȚıȝȑȞȘ İȖȖȪȘıȘįİȞțĮȜȪʌIJİȚʌİȡȚʌIJȫıİȚȢijșȠȡȐȢȜȩȖȦijȣıȚȠȜȠȖȚțȒȢȤȡȒıȘȢȒİȜĮIJIJȫȝĮIJĮʌȠȣȠijİȓȜȠȞIJĮȚıİİıijĮȜȝȑȞȘȤȡȒıȘIJȠȣʌȡȠȧȩȞIJȠȢ ĮȣIJȠȪ ȈȉȅȂǼȉȇȅȆȅȊǼȆǿȉȇǼȆǼȉǹǿǹȆȅȉǾȃǿȈȋȊȅȊȈǹȃȅȂȅĬǼȈǿǹǾȆǼȇǿȅȇǿȈȂǼȃǾǹȊȉǾǼīīȊǾȈǾȊȆȅȀǹĬǿȈȉǹȀǹĬǼ ǹȁȁǾǼīīȊǾȈǾǼǿȉǼȇǾȉǾǼǿȉǼǼȂȂǼȈǾȈȊȂȆǼȇǿȁǹȂǺǹȃȅȂǼȃǾȈȂǼȉǹȄȊǹȁȁȍȃȀǹǿȀǹĬǼǼȂȂǼȈǾȈǼīīȊǾȈǾȈ ǼȂȆȅȇǼȊȈǿȂȅȉǾȉǹȈdzȀǹȉǹȁȁǾȁȅȉǾȉǹȈīǿǹȀǹȆȅǿȅȈȊīȀǼȀȇǿȂǼȃȅȈȀȅȆȅ+%$5'3(5,3+(5$/9$6&8/$5ǻǼȃ ǹȃǹȁǹȂǺǹȃǼǿȅȊǻǼȂǿǹǼȊĬȊȃǾīǿǹȉȊȋȅȃǼȂȂǼȈǼȈȉȊȋǹǿǼȈdzȆǹȇǼȆȅȂǼȃǼȈǽǾȂǿǼȈȆȅȊȆȇȅȀȊȆȉȅȊȃǹȆȅȉȅ ȋǼǿȇǿȈȂȅdzȉǾȋȇǾȈǾȉȅȊȆȇȅȎȅȃȉȅȈǹȆȅȂǼȇȅȊȈȈǹȈ ȅȡȚıȝȑȞİȢʌȠȜȚIJİȓİȢȤȫȡİȢįİȞİʌȚIJȡȑʌȠȣȞIJȘȞİȟĮȓȡİıȘIJȦȞȣʌȠȞȠȠȪȝİȞȦȞİȖȖȣȒıİȦȞIJȦȞIJȣȤĮȓȦȞȒĮʌȠșİIJȚțȫȞȗȘȝȚȫȞȂʌȠȡİȓȞĮ įȚțĮȚȠȪıIJİʌȡȩıșİIJĮȝȑIJȡĮĮʌȠțĮIJȐıIJĮıȘȢıȪȝijȦȞĮȝİIJȠȣȢȞȩȝȠȣȢIJȘȢʌȠȜȚIJİȓĮȢIJȘȢȤȫȡĮȢıĮȢ īȚĮIJȘȞİȞȘȝȑȡȦıȘIJȠȣȤȡȒıIJȘıIJȘȞIJİȜİȣIJĮȓĮıİȜȓįĮIJȠȣʌĮȡȩȞIJȠȢijȣȜȜĮįȓȠȣʌİȡȚȜĮȝȕȐȞİIJĮȚȝȚĮȘȝİȡȠȝȘȞȓĮȑțįȠıȘȢȒĮȞĮșİȫȡȘıȘȢ țĮȚȑȞĮȢĮȡȚșȝȩȢĮȞĮșİȫȡȘıȘȢȖȚĮIJȚȢıȣȖțİțȡȚȝȑȞİȢȠįȘȖȓİȢȈIJȘȞʌİȡȓʌIJȦıȘʌȠȣȑȤȠȣȞʌİȡȐıİȚȝȒȞİȢĮʌȩĮȣIJȒȞIJȘȞȘȝİȡȠȝȘȞȓĮ țĮȚIJȘȤȡȒıȘIJȠȣʌȡȠȧȩȞIJȠȢȠȤȡȒıIJȘȢʌȡȑʌİȚȞĮİʌȚțȠȚȞȦȞȒıİȚȝİIJȘȞ%DUG3HULSKHUDO9DVFXODU,QFȖȚĮȞĮįİȚĮȞİȓȞĮȚįȚĮșȑıȚȝİȢ ʌȡȩıșİIJİȢʌȜȘȡȠijȠȡȓİȢȖȚĮIJȠʌȡȠȧȩȞ
(24)
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Bullet Tip Embout Spitze Punta a proiettile Punta de bala Kogelvormige punt Ponta em forma de bala DZțȡȠıȤȒȝĮIJȠȢıijĮȓȡĮȢ Kuglespids Kulspets Kuulamainen kärki Kulespiss .RĔFyZNDVWRĪNRZD Lövedékhegy Kulatá ãSLþNa Mermi Uç ɉɭɥɟɜɢɞɧɵɣɧɚɤɨɧɟɱɧɢɤ 子彈型末稍 탄환 모양 팁
Rod 60 Tige 60 Spitze 60 Asta 60 Varilla 60 Staaf 60 Haste 60 ȇȐȕįȠȢ Skaft 60 Stav 60 Sauva 60 Stang 60 Mandryn 60 60-as rúd Táhlo 60 Çubuk 60 ɋɬɟɪɠɟɧɶ 桿 60 로드 60
Blunt Tip Embout en mousse Stumpfe Spitze Punta Smussata Punta roma Stompe punt Ponta redonda ǹȝȕȜȪȐțȡȠ Stump spids Trubbig spets Tylppä kärki Butt spiss 7ĊSR]DNRĔF]RQDNRĔFyZND Tompa hegy Tupá ãSLþNa Küt Uç Ɂɚɤɪɭɝɥɟɧɧɵɣɧɚɤɨɧɟɱɧɢɤ 鈍性末稍 뭉툭한 팁
Rod 120 Tige 120 Spitze 120 Asta 120 Varilla 120 Staaf 120 Haste 120 ȇȐȕįȠȢ Skaft 120 Stav 120 Sauva 120 Stang 120 Mandryn 120 120-as rúd Táhlo 120 Çubuk 120 ɋɬɟɪɠɟɧɶ 桿 120 로드 120
Straight Rod Tige droite Gerade Stange Asta diritta Varilla recta Rechte staaf Haste direita ǼȣșİȓĮȡȐȕįȠȢ Lige skaft Rak stav Suora sauva Rett stang Mandryn prosty Egyenes rúd Rovné táhlo Düz Çubuk ɉɪɹɦɨɣɫɬɟɪɠɟɧɶ 直桿 직선 로드
Rod 180 Tige 180 Spitze 180 Asta 180 Varilla 180 Staaf 180 Haste 180 ȇȐȕįȠȢ Skaft 180 Stav 180 Sauva 180 Stang 180 Mandryn 180 180-as rúd Táhlo 180 Çubuk 180 ɋɬɟɪɠɟɧɶ 桿 180 로드 180
Manufacturer: Bard Peripheral Vascular, Inc. 1625 West 3rd Street Tempe, AZ 85281 USA TEL: 1-480-894-9515 1-800-321-4254 FAX: 1-480-966-7062 1-800-440-5376 www.bardpv.com
Innovation for Optimal Outcomes TM
Authorised Representative in the European Community Bard Limited Forest House Tilgate Forest Business Park Brighton Road, Crawley West Sussex, RH11 9BP, UK
PK1136700 Rev. 3 08/14