Instrument Care, Cleaning and Sterilization Quick Reference Guide

x Automated cleaning using a washer/disinfector alone may not be effective for Spinal and Biologics Instruments. A thorough, manual or combination manual/automated washer cleaning/disinfection process is recommended.

Instrument Care, Cleaning, and Sterilization In accordance with ISO 17664

Considerations:

x

x

This guide pertains to Medtronic Spinal and Biologics reusable instruments and should be studied carefully. This guide supplements Medtronic instrument instructions published in Information for Use (IFU) package inserts in regards to instrument care, cleaning, and sterilization. This guide includes processing instructions for all Medtronic reusable devices utilizing enzymatic, neutral, and alkaline cleaners.

NOTE: Certain solutions, such as those that are alkaline-based or contain bleach, glutaraldehyde, or formalin may damage some devices, particularly soft metal instruments. These solutions should not be used on aluminum or anodized aluminum.

x x x x

All Medtronic devices may be safely and efficiently reprocessed using the manual or combination manual/automated washer cleaning/disinfecting procedures outlined in this guide. The user/processor should comply with local laws and ordinances in countries where reprocessing requirements are more stringent than those detailed in this guide. New and used instruments must be thoroughly processed according to these procedures prior to use. All Medtronic devices are considered “critical” due to the fact they enter the body or are exposed to blood.

Warnings and Precautions:

x

x

x x

x

x

x

Universal precautions should be observed by all hospital personnel that work with contaminated or potentially contaminated medical devices. Caution should be exercised when handling devices with sharp points or cutting edges. Personal Protective Equipment (PPE) should be worn when handling or working with contaminated or potentially contaminated materials, devices, and equipment. PPE includes gowns, masks, goggles, face shields, gloves, and shoe covers. Do not place heavy instruments on top of delicate devices. Metal brushes or scouring pads must not be used during manual cleaning procedures. These materials will damage the surface and finish of instruments. Soft-bristled, nylon brushes and pipe cleaners should be used. Do not allow contaminated devices to dry prior to reprocessing. All subsequent cleaning and sterilization steps are facilitated by not allowing blood, body fluid, bone and tissue debris, saline, or disinfectants to dry on used devices. Saline and cleaning/disinfection agents containing aldehyde, mercury, active chlorine, chloride, bromine, bromide, iodine, or iodide are corrosive and should not be used. Instruments must not be placed or soaked in Ringers Solution. Mineral oil or silicone lubricants should not be used because they: 1) coat microorganisms 2) prevent direct contact of the surface with steam 3) are difficult to remove

Limitations and Restrictions:

x

Neutral pH enzymatic and cleaning agents are recommended and preferred for cleaning Medtronic reusable devices. Alkaline agents with pH d12 may be used to clean stainless steel and some polymer instruments in countries where required by law or local ordinance; or where prion diseases such as Transmissible Spongiform Encephalopathy (TSE) and Creutzfeldt-Jakob disease (CJD) are a concern.

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x It is critical that alkaline cleaning agents be completely and thoroughly neutralized and rinsed from devices. NOTE: Drill bits, reamers, rasps, and other cutting devices should be carefully inspected after processing with alkaline detergents to ensure that cutting edges are fit for use.

x Instruments must be removed from metal or polymer trays for

manual or automated cleaning procedures. Instrument trays, cases, and lids must be cleaned separately. Non-sterile, single-use plate and screw implants are an exception to this rule. Plates and screws may remain in the tray or caddy for reprocessing. x Repeated processing, according to the instruction in this guide, has minimal affect on Medtronic reusable instruments unless otherwise noted. End of life for stainless steel or other metal surgical instruments is normally determined by wear and damage due to the intended surgical use and not to reprocessing. x Use of hard water should be avoided. Softened tap water may be used for initial rinsing. Purified water should be used for final rinsing to eliminate mineral deposits on instruments. One or more of the following processes may be used to purify water: ultra-filter (UF), reverse-osmosis (RO), deionized (DI), or equivalent. x Ethylene oxide (EO), gas plasma, vaporized hydrogen peroxide (VHP), and dry heat sterilization methods are not recommended for sterilization of Medtronic reusable instruments. Steam (moist heat) is the recommended sterilization method for Medtronic instruments.

Instructions: Preparation at Point of Use Prior to Processing

x Remove excess body fluids and tissue from instruments with a

disposable, non-shedding wipe. Place devices in a tray of distilled water or cover with damp towels.

x Instruments should be cleaned within 30 minutes of use to minimize the potential for drying prior to cleaning.

Manual Cleaning/Disinfection Procedure: Table 1: Manual Cleaning/Disinfection Steps Step 1

Rinse/flush device and internal components with an enzyme solution while actuating device (if applicable).

Step 2

Scrub device with soft bristle brush until visibly clean.

Step 3

Soak in enzyme solution while sonicating for 30 minutes at 45– 50kHz.

Step 4

Shake device for 30 minutes on mechanical shaker at 250 oscillations per minute.

Step 5

Thoroughly and aggressively flush lumens, holes, and other difficult to reach areas with fresh enzyme solution while actuating device (if applicable).

Step 6

Rinse instrument in purified water for at least 3 minutes or until there is no sign of blood or soil on the device or in the rinse stream. Thoroughly and aggressively flush lumens, holes, and other difficult to reach areas.

Step 7

Place prepared cleaning agents in a sonication unit. Completely submerge instrument in cleaning solution and sonicate for 30 minutes at 45-50kHz.

Step 8

Thoroughly and aggressively flush lumens, holes, and other difficult to reach areas with prepared cleaning agent while actuating device (if applicable).

Step 9

Repeat the rinse steps (step 6).

Step 10

Remove excess moisture from the instrument with a clean, absorbent, and non-shedding wipe.

Combination Manual/Automated Washer Cleaning/ Disinfection Procedure: Table 2: Combination Manual/Automated Washer Cleaning/Disinfecting Steps

Step 1

x Used instruments must be transported to the central supply in dosed or covered containers to prevent contamination risk.

Preparation Before Cleaning:

Step 2

x Multi-component instruments should be disassembled for appropriate

cleaning. Disassembly, where necessary, is self-evident (see Processing Category Codes and Table 3). Care should be exercised to avoid losing small screws and components. x All cleaning agents should be prepared at the use-dilution and temperature recommended by the manufacturer. Softened tap water may be used to prepare cleaning agents. Use of recommended temperatures is important for optimal performance of cleaning agents. NOTE: x Fresh cleaning solutions should be prepared when existing solutions become grossly contaminated (bloody or turbid). x

x

Use of a sonicator at 45–50kHz will aid in thorough cleaning of devices. Use of a syringe or water jet will improve flushing of difficult to reach areas and closely mated surfaces. If stainless steel instruments are stained or corroded, an acidic, anti-corrosion agent in an ultrasonic cleaner may be sufficient to remove surface deposits. Care must be taken to thoroughly rinse acid from devices. Acidic, anti-corrosion agents should only be used on an as needed basis.

Step 3

Use a soft nylon-bristled brush to gently scrub the device until all visible soil has been removed. Particular attention must be given to crevices, lumens, mated surfaces, connectors, and other hard-to clean areas. Lumens should be cleaned with a long, narrow, soft nylon bristled brush. Rinse/flush device and internal components with enzyme solution. Place prepared cleaning agents in a sonication unit. Completely submerge instrument in enzyme solution and sonicate for 15 minutes at 45-50kHz. Remove devices from the enzyme solution and rinse in purified water for a minimum of 1 minute. Thoroughly and aggressively flush lumens, holes, and other difficult to reach areas.

Step 4

Place instruments in a suitable washer/disinfector basket. Set washer/disinfector to process parameters listed in steps 5–13.

Step 5

Pre-Wash (X2): cold softened tap water: 4 minutes

Step 6

Enzyme Spray. hot softened tap water: 20 seconds

Step 7

Enzyme Soak: 4 minutes

Step 8

Rinse (X2): cold softened tap water: 15 seconds

Step 9

Detergent Wash: hot softened tap water: (66-68°C/150-154°F): 4 minutes

Step 10

Rinse (X2): hot softened tap water: 4 minutes

Step 11

Thermal Rinse: hot softened tap water: (83-92°C/181-198°F): 5 minutes

Step 12

Purified Water Rinse: (83-92°C/181-198°F). 10 seconds

Step 13

Hot Air Dry: (75°C/ 167°F): 15-30 minutes

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Quick Reference Guide

Inspection, Testing, Maintenance, and Lubrication:

x x x x x

Carefully inspect each device to ensure that all visible contamination has been removed. If contamination is noted, repeat the cleaning/disinfection process. Check the action of moving parts (e.g., hinges, box locks, connectors, and sliding parts) to ensure smooth operation throughout the intended range of motion. Check instruments with long slender features (particularly rotating instruments) for distortion. Where instruments form part of a larger assembly, check that devices assemble readily with mating components. Hinged, rotating, or articulating instruments should be lubricated with a water soluble product (e.g., instrument milk or equivalent lubricant) intended for surgical instruments that must be sterilized. Some waterbased instrument lubricants contain beneficial bacteriostatic agents. Manufacturer(s) expiration dates should be adhered to for both stock and use-dilution concentrations.

Processing Category Codes: Processing codes listed in Table 3 are etched on some instruments and provide information useful in the selection of cleaning agents with appropriate pH. Medtronic recommends that all devices (regardless of etching) are processed in accordance with the manual or combination manual/automated washer cleaning/disinfection process contained in this guide. Table 3: Processing Category Codes Steel/metal instruments or metal instruments paired with polymer components with or without cannulated bores. These devices are tolerant of neutral cleaning agents and alkaline cleaning agents when followed by acidic neutralization and thorough rinsing. Disassembly required. Cannulations and hollow spaces must be cleaned manually. These devices should be cleaned using the manual or combination manual/automated cleaning procedures provided in this guide. Instruments made of titanium or aluminum alloys or having assembly/disassembly or other reprocessing aids. These devices should be cleaned using the manual or combination manual/automated cleaning procedures provided in this guide. These devices should not be exposed to alkaline cleaning agents.

Sterile Packaging Packaging Individual Instruments:

x

Commercially available, medical grade steam sterilization pouches or wrap may be used to package individual instruments. The package should be prepared using the AAMI double wrap or equivalent method.

Packaging Instrument Sets:

x

Package instrument sets in rigid trays and cases with lids and defined, preconfigured layouts.

Safety Precautions: The total weight of a wrapped instrument tray or case should not exceed 11.4kg/25lbs for the safety of the personnel handling instrument sets. Instrument cases exceeding 11.4kg/25lbs should be split into separate trays for sterilization. x Trays and cases with lids may be wrapped in standard medical grade, steam sterilization wrap using the AAMI double wrap method or equivalent.

x

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NOTE: Areas designated for specific devices shall contain only devices intended for these areas. These validated reprocessing instructions are not applicable to Medtronic trays that include devices not manufactured or distributed by Medtronic. Instrument trays and cases without defined, preconfigured layouts or containing undefined universal spaces or compartments should only be used under the following conditions: x Any device capable of disassembly must be disassembled prior to placement in the case. x All devices must be arranged to ensure steam penetration to all instrument surfaces. Instruments should not be stacked or placed in close contact.

x The user must ensure that the instrument case is not tipped or the

contents shifted once the devices are arranged in the case. Silicone mats may be used to keep devices in place. x Only devices manufactured or distributed by Medtronic should be included in Medtronic instrument trays. Medtronic-validated reprocessing instructions are not applicable to Medtronic trays that include devices not manufactured or distributed by Medtronic.

Sterilization

x Disinfection is only acceptable as a precursor to full sterilization for

reusable surgical instruments. See Table 4 for recommended minimum sterilization parameters that have been validated by Medtronic to provide a 10-6 sterility assurance level (SAL). x The hospital is responsible for in-house procedures for the reassembly, inspection, and packaging of the instruments after they are thoroughly cleaned in a manner that will ensure steam penetration and adequate drying. Provisions for protection of any sharp or potentially dangerous areas of the instruments should also be recommended by the hospital. x Moist heat/steam sterilization is the preferred and recommended method for Medtronic Spinal and Biologics instrument sets. x Sterilizer manufacturer recommendations should always be followed. When sterilizing multiple instrument sets in one sterilization cycle. Ensure that the manufacturer’s maximum load is not exceeded.

Table 4: Validated Steam Sterilization Parameters Cycle Type

Temperature

5, 8

Pressure

1, 2, 3

132 °C

2.1 bar

Prevacuum

270 °F 134 °C 273 °F 134 °C 273 °F 121 °C 250 °F

30.7 psi 2.3 bar 33.2 psi 2.3 bar 33.2 psi 1.3 bar 18.2 psi

1, 2, 4

Prevacuum 1, 2

Gravity 1, 2

Gravity 1. 2. 3. 4. 5.

6

Exposure Time

7

Dry Time

4 min

30 min

20 min

30 min

20 min

30 min

60 min

30 min

Minimum validated steam sterilization time required to achieve a 10-6 sterility assurance level (SAL) Minimum validated steam sterilization temperature required to achieve a 10-6 sterility assurance level (SAL) Local or national specifications should be followed where steam sterilization requirements are stricter or more conservative than those listed in Table 4. Disinfection/steam sterilization parameters recommended by the World Health Organization (WHO) for reprocessing instruments where there is concern regarding TSE/CJD contamination Sea level

6.

AAMI/AORN steam sterilization cycles with longer times than those listed are also acceptable.

7.

Drying times vary according to load size and should be increased for larger loads.

8.

Minimum validated steam sterilization pressure required to achieve a 10-6 sterility assurance level (SAL)

NOTE: The sterilizer manufacturer’s instructions for operations and load configuration should be followed explicitly.

Important Notice

x The instructions in this guide have been validated by Medtronic as being

x Follow the procedures outlined in Tables 1 or 2 and Table 4.

CAPABLE of preparing medical devices for reuse. The validation demonstrated a sterility assurance level of 10-6. It remains the responsibility of the processor to ensure that the processing is performed using equipment, materials, and personnel in the processing facility that is validated to achieve the desired result. This requires validation and routine monitoring of the process. Likewise, any deviation by the processor from the instructions provided should be properly evaluated for effectiveness and potential adverse consequences. Users must then establish an appropriate cleaning protocol for the reusable medical devices used at their sites using the recommendations of the device manufacturer and cleaner manufacturer. x Because of the many variables involved in sterilization/ decontamination, each medical facility should calibrate and verify the sterilization/decontamination process (e.g., temperatures, times) used with their equipment. The validations listed in Table 4 were performed with Medtronic aluminum storage cases and trays.

Storage

x It is the responsibility of the medical facility to ensure that

x Instrument sets should be properly prepared and packaged in trays or cases that will allow steam to penetrate and make direct contact with all surfaces. x Ethylene oxide (EO), gas plasma, vaporized hydrogen peroxide (VHP), or dry heat sterilization methods should not be used on Medtronic’s reusable instruments unless package inserts for the applicable product specifically provide instructions for sterilization using these methods.

Decontamination

x Sterile, packaged instruments should be stored in a designated,

limited access area that is well ventilated and provides protection from dust, insects, vermin, and temperature/humidity extremes.

Hospital Responsibilities for Medtronic Loaner Instruments

x Spinal and orthopaedic surgical instruments generally have a long

service life; however, mishandling or inadequate protection can quickly diminish their life expectancy. Instruments which no longer perform properly because of long use, mishandling, or improper care should be discarded. Notify your Medtronic representative of any instrument problems. x Loaner sets should undergo all steps of decontamination, cleaning, disinfections, inspection, and terminal sterilization before being returned to Medtronic.

reprocessing is performed using the appropriate equipment and materials, and that personnel in the reprocessing facility have been adequately trained in order to achieve the desired result.

CUSTOMER SERVICE INFORMATION: ADDRESS TELEPHONE Medtronic, Inc. 800 933 2635 (In U.S.A) 1800 Pyramid Place 901 396 3133 (Outside U.S.A) Memphis, TN 38132 901 396 0356 Fax Medtronic B.V. + 31 45 566 80 00 Earl Bakkenstraat 6422 PJ Heerlen The Netherlands The Medtronic Instrument Cleaning and Maintenance Guide and the associated Quick Reference Guide can be found at www.medtronic.com/manuals

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x ȅ ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞȠȢ țĮșĮȡȚıȝȩȢ ȝİ IJȘ ȤȡȒıȘ ȝȩȞȠ ıȣıțİȣȒȢ ʌȜȣıȓȝĮIJȠȢ /

ĮʌȠȜȪȝĮȞıȘȢ ȝʌȠȡİȓ ȞĮ ȝȘȞ İȓȞĮȚ ĮʌȠIJİȜİıȝĮIJȚțȩȢ ȖȚĮ ıʌȠȞįȣȜȚțȐ țĮȚ ȕȚȠȜȠȖȚțȐ İȡȖĮȜİȓĮ. ȈȣȞȚıIJȐIJĮȚ ʌȜȒȡȘȢ, ȤİȚȡȠțȓȞȘIJȘ įȚĮįȚțĮıȓĮ Ȓ ıȣȞįȣĮıȝȩȢ ȤİȚȡȠțȓȞȘIJȘȢ / ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞȘȢ įȚĮįȚțĮıȓĮȢ țĮșĮȡȚıȝȠȪ.

ĭȡȠȞIJȓįĮ, țĮșĮȡȚıȝȩȢ țĮȚ ĮʌȠıIJİȓȡȦıȘ İȡȖĮȜİȓȦȞ ȈȪȝijȦȞĮ ȝİ IJȠ ʌȡȩIJȣʌȠ ISO 17664

ĬȑȝĮIJĮ ʌȡȠıȠȤȒȢ:

x

x

ǹȣIJȩȢ Ƞ ȠįȘȖȩȢ ĮijȠȡȐ ıIJĮ İʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝĮ ıʌȠȞįȣȜȚțȐ țĮȚ ȕȚȠȜȠȖȚțȐ İȡȖĮȜİȓĮ Medtronic țĮȚ ʌȡȑʌİȚ ȞĮ ȝİȜİIJȘșİȓ ʌȡȠıİțIJȚțȐ. ǹȣIJȩȢ Ƞ ȠįȘȖȩȢ ĮʌȠIJİȜİȓ ıȣȝʌȜȒȡȦȝĮ IJȦȞ ȠįȘȖȚȫȞ ʌȠȣ ĮȞĮijȑȡȠȞIJĮȚ ıIJĮ ȑȞșİIJĮ ʌĮțȑIJȦȞ ȆȜȘȡȠijȠȡȚȫȞ ȋȡȒıȘȢ (Information for Use, IFU) IJȦȞ İȡȖĮȜİȓȦȞ ıȤİIJȚțȐ ȝİ IJȘ ijȡȠȞIJȓįĮ, IJȠȞ țĮșĮȡȚıȝȩ țĮȚ IJȘȞ ĮʌȠıIJİȓȡȦıȘ IJȦȞ İȡȖĮȜİȓȦȞ. ǹȣIJȩȢ Ƞ ȠįȘȖȩȢ ʌİȡȚȜĮȝȕȐȞİȚ ȠįȘȖȓİȢ İʌİȟİȡȖĮıȓĮȢ ȖȚĮ ȩȜİȢ IJȚȢ İʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝİȢ ıȣıțİȣȑȢ IJȘȢ Medtronic ȝİ IJȘ ȤȡȒıȘ İȞȗȣȝĮIJȚțȫȞ, ȠȣįȑIJİȡȦȞ țĮȚ ĮȜțĮȜȚțȫȞ țĮșĮȡȚıIJȚțȫȞ.

x H ʌȜȒȡȘȢ țĮȚ ȠȜȠțȜȘȡȦIJȚțȒ ȠȣįİIJİȡȠʌȠȓȘıȘ țĮȚ ȑțʌȜȣıȘ IJȦȞ ĮȜțĮȜȚțȫȞ țĮșĮȡȚıIJȚțȫȞ ʌĮȡĮȖȩȞIJȦȞ Įʌȩ IJȚȢ ıȣıțİȣȑȢ İȓȞĮȚ țȡȓıȚȝȘȢ ıȘȝĮıȓĮȢ. ȈǾȂǼǿȍȈǾ: ȂȪIJİȢ IJȡȣʌȐȞȦȞ, įȚİȣȡȣȞIJȒȡİȢ, ȡȐıʌİȢ țĮȚ ȐȜȜİȢ ıȣıțİȣȑȢ țȠʌȒȢ ʌȡȑʌİȚ ȞĮ İʌȚșİȦȡȠȪȞIJĮȚ ʌȡȠıİțIJȚțȐ ȝİIJȐ IJȘȞ İʌİȟİȡȖĮıȓĮ ȝİ ĮȜțĮȜȚțȐ ĮʌȠȡȡȣʌĮȞIJȚțȐ, ȖȚĮ ȞĮ įȚĮıijĮȜȚıIJİȓ ȩIJȚ ȠȚ ĮțȝȑȢ IJȠȣȢ İȓȞĮȚ țĮIJȐȜȜȘȜİȢ ȖȚĮ ȤȡȒıȘ.

x ȉĮ İȡȖĮȜİȓĮ ʌȡȑʌİȚ ȞĮ ĮijĮȚȡȠȪȞIJĮȚ Įʌȩ ȝİIJĮȜȜȚțȠȪȢ įȓıțȠȣȢ Ȓ įȓıțȠȣȢ ʌȠȜȣȝİȡȫȞ ȖȚĮ IJȚȢ

ȤİȚȡȠțȓȞȘIJİȢ Ȓ ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞİȢ įȚĮįȚțĮıȓİȢ țĮșĮȡȚıȝȠȪ. ȅȚ įȓıțȠȚ, ȠȚ șȒțİȢ țĮȚ IJĮ țĮȜȪȝȝĮIJĮ İȡȖĮȜİȓȦȞ ʌȡȑʌİȚ ȞĮ țĮșĮȡȓȗȠȞIJĮȚ ȟİȤȦȡȚıIJȐ. ȅȚ ȝȘ ĮʌȠıIJİȚȡȦȝȑȞİȢ, ȝȓĮȢ ȤȡȒıȘȢ ʌȜȐțİȢ țĮȚ ȕȚįȦIJȐ İȝijȣIJİȪȝĮIJĮ ĮʌȠIJİȜȠȪȞ İȟĮȓȡİıȘ ĮȣIJȠȪ IJȠȣ țĮȞȩȞĮ. ȅȚ ʌȜȐțİȢ țĮȚ ȠȚ ȕȓįİȢ ȝʌȠȡȠȪȞ ȞĮ ʌĮȡĮȝȑȞȠȣȞ ıIJȠ įȓıțȠ Ȓ IJȘ șȒțȘ ȖȚĮ İʌĮȞİʌİȟİȡȖĮıȓĮ.

x

ȉĮ ȞȑĮ țĮȚ IJĮ ȤȡȘıȚȝȠʌȠȚȘȝȑȞĮ İȡȖĮȜİȓĮ ʌȡȑʌİȚ ȞĮ ȣʌȠȕȐȜȜȠȞIJĮȚ ıİ ʌȜȒȡȘ İʌİȟİȡȖĮıȓĮ ıȪȝijȦȞĮ ȝİ ĮȣIJȑȢ IJȚȢ įȚĮįȚțĮıȓİȢ ʌȡȚȞ IJȘ ȤȡȒıȘ IJȠȣȢ. ǵȜİȢ ȠȚ ıȣıțİȣȑȢ IJȘȢ Medtronic șİȦȡȠȪȞIJĮȚ “țȡȓıȚȝİȢ” İʌİȚįȒ İȚıȐȖȠȞIJĮȚ ıIJȠ ıȫȝĮ Ȓ İțIJȓșİȞIJĮȚ ıIJȠ ĮȓȝĮ.

ȆȡȠİȚįȠʌȠȚȒıİȚȢ țĮȚ ȆȡȠijȣȜȐȟİȚȢ:

x x x x x

x x

ȆȡȑʌİȚ ȞĮ IJȘȡȠȪȞIJĮȚ ȠȚ ȖİȞȚțȑȢ ʌȡȠijȣȜȐȟİȚȢ Įʌȩ ȩȜĮ IJĮ ȝȑȜȘ IJȠȣ ʌȡȠıȦʌȚțȠȪ IJȠȣ ȞȠıȠțȠȝİȓȠȣ ʌȠȣ İȡȖȐȗȠȞIJĮȚ ȝİ ȝȠȜȣıȝȑȞİȢ Ȓ İȞįİȤȠȝȑȞȦȢ ȝȠȜȣıȝȑȞİȢ ȚĮIJȡȚțȑȢ ıȣıțİȣȑȢ. ĬĮ ʌȡȑʌİȚ ȞĮ ʌȡȠıȑȤİIJİ ʌȠȜȪ țĮIJȐ IJȠ ȤİȚȡȚıȝȩ IJȦȞ ıȣıțİȣȫȞ ʌȠȣ ʌĮȡȠȣıȚȐȗȠȣȞ ĮȚȤȝȘȡȐ ıȘȝİȓĮ Ȓ ȖȦȞȓİȢ. ȆȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚİȓIJĮȚ ȆȡȠıȦʌȚțȩȢ ȆȡȠıIJĮIJİȣIJȚțȩȢ ǼȟȠʌȜȚıȝȩȢ (ȆȆǼ) țĮIJȐ IJȠ ȤİȚȡȚıȝȩ Ȓ IJȘȞ İȡȖĮıȓĮ ȝİ ȝȠȜȣıȝȑȞĮ Ȓ İȞįİȤȠȝȑȞȦȢ ȝȠȜȣıȝȑȞĮ ȣȜȚțȐ, ıȣıțİȣȑȢ țĮȚ İȟȠʌȜȚıȝȩ. ȅ ȆȆǼ ʌİȡȚȜĮȝȕȐȞİȚ ȡȩȝʌİȢ, ȝȐıțİȢ, ȖȣĮȜȚȐ, ĮıʌȓįİȢ ʌȡȠıȫʌȠȣ, ȖȐȞIJȚĮ țĮȚ țĮȜȪȝȝĮIJĮ ȣʌȠįȘȝȐIJȦȞ. ȂȘȞ IJȠʌȠșİIJİȓIJİ ȕĮȡȚȐ İȡȖĮȜİȓĮ İʌȐȞȦ ıİ İȣĮȓıșȘIJİȢ ıȣıțİȣȑȢ. ǻİȞ ʌȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ȝİIJĮȜȜȚțȑȢ ȕȠȪȡIJıİȢ Ȓ ȜİȚĮȞIJȚțȐ ʌĮȞȚȐ țĮIJȐ IJȚȢ įȚĮįȚțĮıȓİȢ țĮșĮȡȚıȝȠȪ ȝİ IJȠ ȤȑȡȚ. ǹȣIJȐ IJĮ ȣȜȚțȐ șĮ ʌȡȠțĮȜȑıȠȣȞ ȗȘȝȚȐ ıIJȘȞ İʌȚijȐȞİȚĮ țĮȚ IJȠ ijȚȞȓȡȚıȝĮ IJȦȞ İȡȖĮȜİȓȦȞ. ȆȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ȝĮȜĮțȑȢ, ȞȐȚȜȠȞ ȕȠȪȡIJıİȢ țĮȚ țĮșĮȡȚıIJȚțȐ ıȦȜȘȞĮȡȓȦȞ. ȂȘȞ ĮijȒȞİIJİ IJȚȢ ȝȠȜȣıȝȑȞİȢ ıȣıțİȣȑȢ ȞĮ ıIJİȖȞȫıȠȣȞ ʌȡȚȞ IJȘȞ İʌĮȞİʌİȟİȡȖĮıȓĮ IJȠȣȢ. ǵȜĮ IJĮ İʌĮțȩȜȠȣșĮ ȕȒȝĮIJĮ țĮșĮȡȚıȝȠȪ țĮȚ ĮʌȠıIJİȓȡȦıȘȢ țĮșȓıIJĮȞIJĮȚ İȣțȠȜȩIJİȡĮ İȐȞ įİȞ ĮijȒȞİIJİ ȞĮ ıIJİȖȞȫȞİȚ IJȠ ĮȓȝĮ, IJĮ ıȦȝĮIJȚțȐ ȣȖȡȐ, ȣʌȠȜİȓȝȝĮIJĮ ȠıIJȫȞ țĮȚ ȚıIJȫȞ, ijȣıȚȠȜȠȖȚțȩȢ ȠȡȩȢ Ȓ ĮʌȠȜȣȝĮȞIJȚțȐ ʌȐȞȦ ıIJȚȢ ȤȡȘıȚȝȠʌȠȚȘȝȑȞİȢ ıȣıțİȣȑȢ. ȅ ijȣıȚȠȜȠȖȚțȩȢ ȠȡȩȢ țĮȚ ȠȚ ʌĮȡȐȖȠȞIJİȢ țĮșĮȡȚıȝȠȪ / ĮʌȠȜȪȝĮȞıȘȢ ʌȠȣ ʌİȡȚȑȤȠȣȞ ĮȜįİȔįȘ, ȣįȡȐȡȖȣȡȠ, İȞİȡȖȩ ȤȜȫȡȚȠ, ȤȜȦȡȓįȚȠ, ȕȡȫȝȚȠ, ȕȡȦȝȓįȚȠ, ȚȫįȚȠ Ȓ ȚȦįȓįȚȠ İȓȞĮȚ įȚĮȕȡȦIJȚțȐ țĮȚ įİȞ ʌȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ. ȉĮ İȡȖĮȜİȓĮ įİȞ ʌȡȑʌİȚ ȞĮ IJȠʌȠșİIJȠȪȞIJĮȚ Ȓ ȞĮ İȝȕĮʌIJȓȗȠȞIJĮȚ ıİ įȚȐȜȣȝĮ Ringers. ǻİȞ ʌȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ȠȡȣțIJȑȜĮȚĮ Ȓ ȜȚʌĮȞIJȚțȐ ıȚȜȚțȩȞȘȢ ȜȩȖȦ IJȠȣ ȩIJȚ: 1) İʌȚțĮȜȪʌIJȠȣȞ ȝȚțȡȠȠȡȖĮȞȚıȝȠȪȢ 2) ĮʌȠIJȡȑʌȠȣȞ IJȘȞ ȐȝİıȘ İʌĮijȒ IJȘȢ İʌȚijȐȞİȚĮȢ ȝİ IJȠȞ ĮIJȝȩ 3) Ș ĮijĮȓȡİıȒ IJȠȣȢ İȓȞĮȚ įȪıțȠȜȘ

ȆİȡȚȠȡȚıȝȠȓ:

x

ȈȣȞȚıIJȫȞIJĮȚ țĮȚ ʌȡȠIJȚȝȫȞIJĮȚ İȞȗȣȝĮIJȚțȠȓ țĮȚ țĮșĮȡȚıIJȚțȠȓ ʌĮȡȐȖȠȞIJİȢ ȝİ ȠȣįȑIJİȡȠ pH ȖȚĮ IJȠȞ țĮșĮȡȚıȝȩ IJȦȞ İʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝȦȞ ıȣıțİȣȫȞ IJȘȢ Medtronic. ȂʌȠȡȠȪȞ ȞĮ ȤȡȘıȚȝȠʌȠȚȘșȠȪȞ ĮȜțĮȜȚțȠȓ ʌĮȡȐȖȠȞIJİȢ ȝİ pH d12 ȖȚĮ IJȠȞ țĮșĮȡȚıȝȩ İȡȖĮȜİȓȦȞ Įʌȩ ĮȞȠȟİȓįȦIJȠ ȤȐȜȣȕĮ țĮȚ ȠȡȚıȝȑȞĮ ʌȠȜȣȝİȡȒ ȣȜȚțȐ ıİ ȤȫȡİȢ ȩʌȠȣ ĮʌĮȚIJİȓIJĮȚ Įʌȩ IJȠ ȞȩȝȠ Ȓ IJȚȢ IJȠʌȚțȑȢ įȚĮIJȐȟİȚȢ, Ȓ ȩʌȠȣ ȞȩıȠȚ IJȦȞ ʌȡȓȠȞ ȩʌȦȢ Ș ȝİIJĮįȚįȩȝİȞȘ ıʌȠȖȖȫįȘȢ İȖțİijĮȜȠʌȐșİȚĮ (Transmissible Spongiform Encephalopathy, TSE) țĮȚ Ș ĮıșȑȞİȚĮ Creutzfeldt-Jakob (CreutzfeldtJakob disease, CJD) ʌȡȠțĮȜȠȪȞ ĮȞȘıȣȤȓĮ.

04/2010

ǺȒȝĮ 2

ǺȠȣȡIJıȓıIJİ IJȘ ıȣıțİȣȒ ȝİ ȝȚĮ ȝĮȜĮțȒ ȕȠȪȡIJıĮ ȑȦȢ ȩIJȠȣ İȓȞĮȚ İȝijĮȞȫȢ țĮșĮȡȒ.

ǺȒȝĮ 3 ǺȒȝĮ 4

ĮʌȠıțȜȘȡȣȝȑȞȠ IJȡİȤȠȪȝİȞȠ Ȟİȡȩ ȖȚĮ IJȘȞ ĮȡȤȚțȒ ȑțʌȜȣıȘ. ȆȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚİȓIJĮȚ İȟĮȖȞȚıȝȑȞȠ Ȟİȡȩ ȖȚĮ IJȘȞ IJİȜȚțȒ ȑțʌȜȣıȘ, ȫıIJİ ȞĮ İȟĮȜİȚijșȠȪȞ IJĮ ȠȡȣțIJȐ ȣʌȠȜİȓȝȝĮIJĮ ıIJĮ İȡȖĮȜİȓĮ. ȂʌȠȡİȓ ȞĮ ȤȡȘıȚȝȠʌȠȚȘșȠȪȞ ȝȓĮ Ȓ ʌİȡȚııȩIJİȡİȢ Įʌȩ IJȚȢ țȐIJȦșȚ įȚĮįȚțĮıȓİȢ ȖȚĮ IJȠȞ İȟĮȖȞȚıȝȩ IJȠȣ ȞİȡȠȪ: ȣʌİȡįȚȒșȘıȘ (ultra-filter-UF), ĮȞIJȓıIJȡȠijȘ ȫıȝȦıȘ (RO), ĮʌȚȠȞȚıȝȩȢ (DI) Ȓ ȚıȠįȪȞĮȝȘ įȚĮįȚțĮıȓĮ.

ǺȒȝĮ 7

ǺȐȜIJİ IJĮ ʌĮȡĮıțİȣĮıȝȑȞĮ įȚĮȜȪȝĮIJĮ țĮșĮȡȚıȝȠȪ ıİ ȝȠȞȐįĮ ȣʌİȡȒȤȦȞ. ǺȣșȓıIJİ ʌȜȒȡȦȢ IJȠ İȡȖĮȜİȓȠ ıİ țĮșĮȡȚıIJȚțȩ įȚȐȜȣȝĮ țĮȚ țȐȞIJİ İʌİȟİȡȖĮıȓĮ ȝİ ȣʌİȡȒȤȠȣȢ ȖȚĮ 30 ȜİʌIJȐ ıİ ıȣȤȞȩIJȘIJĮ 45-50 kHz.

ǺȒȝĮ 8

ǼțʌȜȪȞİIJİ țĮȜȐ țĮȚ İʌȓȝȠȞĮ IJȠȣȢ ĮȣȜȠȪȢ, IJȚȢ ȠʌȑȢ țĮȚ ȐȜȜİȢ įȣıʌȡȩıȚIJİȢ ʌİȡȚȠȤȑȢ ȝİ IJȠ ʌĮȡĮıțİȣĮıȝȑȞȠ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ, țĮșȫȢ İȞİȡȖȠʌȠȚİȓIJİ IJȘ ıȣıțİȣȒ (İȐȞ ȚıȤȪİȚ).

țĮșȫȢ țĮȚ ȝȑșȠįȠȚ ĮʌȠıIJİȓȡȦıȘȢ ȟȘȡȒȢ șİȡȝȩIJȘIJĮȢ įİȞ ıȣȞȚıIJȫȞIJĮȚ ȖȚĮ IJȘȞ ĮʌȠıIJİȓȡȦıȘ IJȦȞ İʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝȦȞ İȡȖĮȜİȓȦȞ IJȘȢ Medtronic. Ǿ ĮʌȠıIJİȓȡȦıȘ ȝİ ĮIJȝȩ (ȣȖȡȒ șİȡȝȩIJȘIJĮ) İȓȞĮȚ Ș ıȣȞȚıIJȫȝİȞȘ ȝȑșȠįȠȢ ĮʌȠıIJİȓȡȦıȘȢ ȖȚĮ IJĮ İȡȖĮȜİȓĮ IJȘȢ Medtronic.

ǺȒȝĮ 9

ǼʌĮȞĮȜȐȕİIJİ IJĮ ȕȒȝĮIJĮ ȑțʌȜȣıȘȢ (ȕȒȝĮ 6).

ǺȒȝĮ 10

ǹijĮȚȡȑıIJİ IJȣȤȩȞ ȣʌİȡȕȐȜȜȠȣıĮ ȣȖȡĮıȓĮ Įʌȩ IJȠ İȡȖĮȜİȓȠ ȝİ ȑȞĮ țĮșĮȡȩ, ĮʌȠȡȡȠijȘIJȚțȩ ʌĮȞȐțȚ ʌȠȣ įİȞ ĮijȒȞİȚ ȤȞȠȪįȚ.

İʌȓįȡĮıȘ ıIJĮ İʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝĮ ȤİȚȡȠȣȡȖȚțȐ İȡȖĮȜİȓĮ IJȘȢ Medtronic İțIJȩȢ İȐȞ ıȘȝİȚȫȞİIJĮȚ įȚĮijȠȡİIJȚțȐ. ȉȠ IJȑȜȠȢ IJȘȢ įȚȐȡțİȚĮȢ ȗȦȒȢ IJȦȞ ȤİȚȡȠȣȡȖȚțȫȞ İȡȖĮȜİȓȦȞ Įʌȩ ĮȞȠȟİȓįȦIJȠ ȤȐȜȣȕĮ Ȓ ȐȜȜĮ ȝȑIJĮȜȜĮ țĮșȠȡȓȗİIJĮȚ ıȣȞȒșȦȢ Įʌȩ IJȘ ijșȠȡȐ țĮȚ ȗȘȝȚȐ ȜȩȖȦ IJȘȢ İȞįİȚțȞȣȩȝİȞȘȢ ȤİȚȡȠȣȡȖȚțȒȢ ȤȡȒıȘȢ IJȠȣȢ țĮȚ ȩȤȚ ȜȩȖȦ IJȘȢ İʌĮȞİʌİȟİȡȖĮıȓĮȢ.

x ȉȠ ĮȚșȣȜİȞȠȟİȓįȚȠ (Ǽȅ), IJȠ ʌȜȐıȝĮ ĮİȡȓȠȣ, IJȠ İȟĮIJȝȚıȝȑȞȠ ȣʌİȡȠȟİȓįȚȠ ȣįȡȠȖȩȞȠȣ (VHP)

ȅįȘȖȓİȢ: ȆȡȠİIJȠȚȝĮıȓĮ ıIJȠ ıȘȝİȓȠ ȤȡȒıȘȢ ʌȡȚȞ Įʌȩ IJȘȞ İʌİȟİȡȖĮıȓĮ

x ǹijĮȚȡȑıIJİ IJȣȤȩȞ ıȦȝĮIJȚțȐ ȣȖȡȐ Ȓ ȣʌȠȜİȓȝȝĮIJĮ ȚıIJȫȞ Įʌȩ IJĮ İȡȖĮȜİȓĮ ȝİ

ĮȞșİțIJȚțȩ ʌĮȞȐțȚ ȝȓĮȢ ȤȡȒıȘȢ. ȉȠʌȠșİIJȒıIJİ IJȚȢ ıȣıțİȣȑȢ ıİ ȑȞĮ įȚıțȐȡȚȠ ȝİ ĮʌȠıIJĮȖȝȑȞȠ Ȟİȡȩ Ȓ țĮȜȪȥIJİ IJȚȢ ȝİ ȣȖȡȑȢ ʌİIJıȑIJİȢ.

x ȉĮ İȡȖĮȜİȓĮ ʌȡȑʌİȚ ȞĮ țĮșĮȡȓȗȠȞIJĮȚ İȞIJȩȢ 30 ȜİʌIJȫȞ Įʌȩ IJȘ ȤȡȒıȘ ȖȚĮ ȞĮ

İȜĮȤȚıIJȠʌȠȚİȓIJĮȚ Ș ʌȚșĮȞȩIJȘIJĮ ȟȒȡĮȞıȘȢ IJȦȞ ȝȠȜȣıȝĮIJȚțȫȞ ȠȣıȚȫȞ ʌȡȚȞ Įʌȩ IJȠȞ țĮșĮȡȚıȝȩ.

x ȉĮ ȤȡȘıȚȝȠʌȠȚȘȝȑȞĮ İȡȖĮȜİȓĮ ʌȡȑʌİȚ ȞĮ ȝİIJĮijȑȡȠȞIJĮȚ ıIJȠ IJȝȒȝĮ țİȞIJȡȚțȫȞ

ǻȚĮįȚțĮıȓĮ ıȣȞįȣĮıȝȠȪ ȤİȚȡȠțȓȞȘIJȘȢ / ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞȘȢ ʌȜȪıȘȢ țĮșĮȡȚıȝȠȪ / ĮʌȠȜȪȝĮȞıȘȢ: ȆȓȞĮțĮȢ 2: ǺȒȝĮIJĮ ıȣȞįȣĮıȝȠȪ ȤİȚȡȠțȓȞȘIJȘȢ / ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞȘȢ ʌȜȪıȘȢ țĮșĮȡȚıȝȠȪ / ĮʌȠȜȪȝĮȞıȘȢ ǺȒȝĮ 1

ʌȡȠȝȘșİȚȫȞ ıİ įȚĮȝȠȡijȦȝȑȞȠȣȢ (İȚįȚțȠȪȢ) Ȓ țĮȜȣȝȝȑȞȠȣȢ ʌİȡȚȑțIJİȢ ȖȚĮ IJȘȞ ĮʌȠIJȡȠʌȒ ȠʌȠȚȠȣįȒʌȠIJİ țȚȞįȪȞȠȣ ȝȩȜȣȞıȘȢ.

ȆȡȠİIJȠȚȝĮıȓĮ ʌȡȚȞ IJȠȞ țĮșĮȡȚıȝȩ:

ǺȒȝĮ 2

x ȉĮ İȡȖĮȜİȓĮ ʌȠȜȜĮʌȜȫȞ İȟĮȡIJȘȝȐIJȦȞ ʌȡȑʌİȚ ȞĮ ĮʌȠıȣȞĮȡȝȠȜȠȖȠȪȞIJĮȚ ȖȚĮ IJȠȞ

țĮIJȐȜȜȘȜȠ țĮșĮȡȚıȝȩ IJȠȣȢ. Ǿ ĮʌȠıȣȞĮȡȝȠȜȩȖȘıȘ, ȩʌȠȣ İȓȞĮȚ ĮȞĮȖțĮȓĮ, İȓȞĮȚ ĮȣIJȠȞȩȘIJȘ (įİȓIJİ ȀȦįȚțȠȪȢ ȀĮIJȘȖȠȡȚȫȞ ǼʌİȟİȡȖĮıȓĮȢ țĮȚ ȆȓȞĮțĮ 3). ĬĮ ʌȡȑʌİȚ ȞĮ ʌȡȠıȑȤİIJİ ȫıIJİ ȞĮ ĮʌȠijİȪȖİIJİ IJȘȞ ĮʌȫȜİȚĮ ȝȚțȡȫȞ ȕȚįȫȞ Ȓ İȟĮȡIJȘȝȐIJȦȞ.

x ǵȜȠȚ ȠȚ țĮșĮȡȚıIJȚțȠȓ ʌĮȡȐȖȠȞIJİȢ ʌȡȑʌİȚ ȞĮ ʌĮȡĮıțİȣȐȗȠȞIJĮȚ ȕȐıİȚ IJȘȢ

ĮȞĮȜȠȖȓĮȢ ĮȡĮȓȦıȘȢ țĮȚ IJȘȢ șİȡȝȠțȡĮıȓĮȢ ʌȠȣ ıȣȞȚıIJȐIJĮȚ Įʌȩ IJȠȣȢ ʌĮȡĮıțİȣĮıIJȑȢ IJȠȣȢ. ȂʌȠȡİȓ ȞĮ ȤȡȘıȚȝȠʌȠȚȘșİȓ ĮʌȠıțȜȘȡȣȝȑȞȠ IJȡİȤȠȪȝİȞȠ Ȟİȡȩ ȖȚĮ IJȘȞ ʌĮȡĮıțİȣȒ IJȦȞ țĮșĮȡȚıIJȚțȫȞ ʌĮȡĮȖȩȞIJȦȞ. Ǿ ȤȡȒıȘ IJȦȞ ıȣȞȚıIJȫȝİȞȦȞ șİȡȝȠțȡĮıȚȫȞ İȓȞĮȚ ıȘȝĮȞIJȚțȒ ȖȚĮ IJȘ ȕȑȜIJȚıIJȘ ĮʌȩįȠıȘ IJȦȞ țĮșĮȡȚıIJȚțȫȞ ʌĮȡĮȖȩȞIJȦȞ.

ȈǾȂǼǿȍȈǾ: x

ȆȡȑʌİȚ ȞĮ ʌĮȡĮıțİȣȐȗȠȞIJĮȚ ijȡȑıțĮ įȚĮȜȪȝĮIJĮ țĮșĮȡȚıȝȠȪ ȩIJĮȞ IJĮ ȣʌȐȡȤȠȞIJĮ įȚĮȜȪȝĮIJĮ ȝȠȜȣȞșȠȪȞ ıİ ȝİȖȐȜȠ ȕĮșȝȩ (ȝİ ĮȓȝĮ Ȓ țĮșȚȗȒȝĮIJĮ).

x

Ǿ ȤȡȒıȘ ıȣıțİȣȒȢ ȣʌİȡȒȤȦȞ ıİ ıȣȤȞȩIJȘIJĮ 45-50 kHz șĮ ȕȠȘșȒıİȚ ıIJȠȞ ʌȜȒȡȘ țĮșĮȡȚıȝȩ IJȦȞ ıȣıțİȣȫȞ. Ǿ ȤȡȒıȘ ıȪȡȚȖȖĮȢ Ȓ ȡȠȒȢ ȞİȡȠȪ ȣʌȩ ʌȓİıȘ șĮ ȕİȜIJȚȫıİȚ IJȘȞ ȑțʌȜȣıȘ įȣıʌȡȩıȚIJȦȞ ʌİȡȚȠȤȫȞ țĮȚ İʌȚijĮȞİȚȫȞ ȝİ ȝȚțȡȒ ĮʌȩıIJĮıȘ ȝİIJĮȟȪ IJȠȣȢ.

x

ǺȣșȓıIJİ ıİ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ țĮIJȐ IJȘȞ İʌİȟİȡȖĮıȓĮ ȝİ ȣʌİȡȒȤȠȣȢ ȖȚĮ 30 ȜİʌIJȐ ıİ ıȣȤȞȩIJȘIJĮ 45–50 kHz. ǹȞĮțȚȞȒıIJİ IJȘ ıȣıțİȣȒ ȖȚĮ 30 ȜİʌIJȐ ıİ ȝȘȤĮȞȚțȒ ıȣıțİȣȒ ĮȞĮțȓȞȘıȘȢ, ıIJȚȢ 250 IJĮȜĮȞIJİȪıİȚȢ ĮȞȐ ȜİʌIJȩ.

ȄİʌȜȪȞİIJİ IJȠ İȡȖĮȜİȓȠ ıİ İȟĮȖȞȚıȝȑȞȠ Ȟİȡȩ ȖȚĮ IJȠȣȜȐȤȚıIJȠȞ 3 ȜİʌIJȐ Ȓ ȑȦȢ ȩIJȠȣ įİȞ ȣʌȐȡȤİȚ ȑȞįİȚȟȘ ĮȓȝĮIJȠȢ Ȓ ĮțĮșĮȡıȚȫȞ ıIJȘ ıȣıțİȣȒ Ȓ ıIJȘ ȡȠȒ IJȠȣ įȚĮȜȪȝĮIJȠȢ ȑțʌȜȣıȘȢ. ǼțʌȜȪȞİIJİ țĮȜȐ țĮȚ İʌȓȝȠȞĮ IJȠȣȢ ĮȣȜȠȪȢ, IJȚȢ ȠʌȑȢ țĮȚ ȐȜȜİȢ įȣıʌȡȩıȚIJİȢ ʌİȡȚȠȤȑȢ.

x Ǿ ȤȡȒıȘ ıțȜȘȡȠȪ ȞİȡȠȪ ʌȡȑʌİȚ ȞĮ ĮʌȠijİȪȖİIJĮȚ. ȂʌȠȡİȓ ȞĮ ȤȡȘıȚȝȠʌȠȚȘșİȓ

x

ȄİʌȜȪȞİIJİ / İțʌȜȪȞİIJİ IJȘ ıȣıțİȣȒ țĮȚ IJĮ İıȦIJİȡȚțȐ IJȘȢ İȟĮȡIJȒȝĮIJĮ ȝİ ȑȞĮ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ, țĮșȫȢ İȞİȡȖȠʌȠȚİȓIJİ IJȘ ıȣıțİȣȒ (İȐȞ ȚıȤȪİȚ).

ǺȒȝĮ 6

x

ȅ ȤȡȒıIJȘȢ / ȣʌİȪșȣȞȠȢ İʌİȟİȡȖĮıȓĮȢ ʌȡȑʌİȚ ȞĮ ıȣȝȝȠȡijȫȞİIJĮȚ ȝİ IJȠȣȢ IJȠʌȚțȠȪȢ ȞȩȝȠȣȢ țĮȚ įȚĮIJȐȟİȚȢ ıIJȚȢ ȤȫȡİȢ ȩʌȠȣ ȠȚ ĮʌĮȚIJȒıİȚȢ İʌĮȞİʌİȟİȡȖĮıȓĮȢ İȓȞĮȚ ʌȚȠ ĮȣıIJȘȡȑȢ Įʌȩ ĮȣIJȑȢ ʌȠȣ ʌİȡȚȖȡȐijȠȞIJĮȚ ıİ ĮȣIJȩȞ IJȠȞ ȠįȘȖȩ.

ǺȒȝĮ 1

ǼțʌȜȪȞİIJİ țĮȜȐ țĮȚ İʌȓȝȠȞĮ IJȠȣȢ ĮȣȜȠȪȢ, IJȚȢ ȠʌȑȢ țĮȚ ȐȜȜİȢ įȣıʌȡȩıȚIJİȢ ʌİȡȚȠȤȑȢ ȝİ ijȡȑıțȠ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ, țĮșȫȢ İȞİȡȖȠʌȠȚİȓIJİ IJȘ ıȣıțİȣȒ (İȐȞ ȚıȤȪİȚ).

x ǾİʌĮȞĮȜĮȝȕĮȞȩȝİȞȘ İʌİȟİȡȖĮıȓĮ, ıȪȝijȦȞĮ ȝİ IJȚȢ ȠįȘȖȓİȢ ıİ ĮȣIJȩȞ IJȠȞ ȠįȘȖȩ, ȑȤİȚ İȜȐȤȚıIJȘ

ǵȜİȢ ȠȚ ıȣıțİȣȑȢ IJȘȢ Medtronic ʌȡȑʌİȚ ȞĮ ȣʌȠȕȐȜȜȠȞIJĮȚ ıİ ĮıijĮȜȒ țĮȚ ĮʌȠIJİȜİıȝĮIJȚțȒ İʌĮȞİʌİȟİȡȖĮıȓĮ ȝİ ȤȡȒıȘ ȤİȚȡȠțȓȞȘIJȦȞ Ȓ ıȣȞįȣĮıȝȠȪ ȤİȚȡȠțȓȞȘIJȦȞ / ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞȦȞ įȚĮįȚțĮıȚȫȞ țĮșĮȡȚıȝȠȪ / ĮʌȠȜȪȝĮȞıȘȢ ʌȠȣ ʌİȡȚȖȡȐijȠȞIJĮȚ ıİ ĮȣIJȩȞ IJȠȞ ȠįȘȖȩ.

ǻȚĮįȚțĮıȓĮ ȤİȚȡȠțȓȞȘIJȠȣ țĮșĮȡȚıȝȠȪ / ĮʌȠȜȪȝĮȞıȘȢ: ȆȓȞĮțĮȢ 1: ǺȒȝĮIJĮ ȤİȚȡȠțȓȞȘIJȠȣ țĮșĮȡȚıȝȠȪ / ĮʌȠȜȪȝĮȞıȘȢ

ǺȒȝĮ 5

ȈǾȂǼǿȍȈǾ: ȅȡȚıȝȑȞĮ įȚĮȜȪȝĮIJĮ ȩʌȦȢ IJĮ ĮȜțĮȜȚțȐ țĮșĮȡȚıIJȚțȐ Ȓ ĮȣIJȐ ʌȠȣ ʌİȡȚȑȤȠȣȞ ȜİȣțĮȞIJȚțȐ, ȖȜȠȣIJĮȡĮȜįİȔįȘ Ȓ ijȠȡȝĮȜȓȞȘ, ȝʌȠȡİȓ ȞĮ ʌȡȠțĮȜȑıȠȣȞ ȗȘȝȚȐ ıİ ȠȡȚıȝȑȞİȢ ıȣıțİȣȑȢ, İȚįȚțȐ ıİ İȡȖĮȜİȓĮ ȝĮȜĮțȫȞ ȝİIJȐȜȜȦȞ. ǹȣIJȐ IJĮ įȚĮȜȪȝĮIJĮ įİȞ ʌȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ıİ İȡȖĮȜİȓĮ ĮȜȠȣȝȚȞȓȠȣ Ȓ ĮȞȠįȚȦȝȑȞȠȣ ĮȜȠȣȝȚȞȓȠȣ.

x

0381424 Rev C

ȅįȘȖȩȢ ȉĮȤİȓĮȢ ǹȞĮijȠȡȐȢ

ΕΛΛΗΝΙΚΑ

ǼȐȞ IJĮ İȡȖĮȜİȓĮ Įʌȩ ĮȞȠȟİȓįȦIJȠ ȤȐȜȣȕĮ ȑȤȠȣȞ ȜİțȑįİȢ Ȓ ȑȤȠȣȞ įȚĮȕȡȦșİȓ, IJȩIJİ ȑȞĮȢ ȩȟȚȞȠȢ, ĮȞIJȚįȚĮȕȡȦIJȚțȩȢ ʌĮȡȐȖȠȞIJĮȢ ıİ țĮșĮȡȚıIJȒ ȣʌİȡȒȤȦȞ ȝʌȠȡİȓ ȞĮ İȓȞĮȚ İʌĮȡțȒȢ ȖȚĮ IJȘȞ ĮijĮȓȡİıȘ IJȦȞ İʌȚțĮșȒıİȦȞ ıIJȚȢ İʌȚijȐȞİȚİȢ. ȆȡȑʌİȚ ȞĮ İʌȚįİȚțȞȪİIJĮȚ ʌȡȠıȠȤȒ ıIJȘȞ ʌȜȒȡȘ ȑțʌȜȣıȘ IJȦȞ ȠȟȑȦȞ Įʌȩ IJȚȢ ıȣıțİȣȑȢ. ȅȚ ȩȟȚȞȠȚ, ĮȞIJȚįȚĮȕȡȦIJȚțȠȓ ʌĮȡȐȖȠȞIJİȢ țĮșĮȡȚıȝȠȪ ʌȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ȝȩȞȠȞ İȐȞ İȓȞĮȚ ĮȞĮȖțĮȓȠ.

ǺȒȝĮ 3 ǺȒȝĮ 4

ȋȡȘıȚȝȠʌȠȚȒıIJİ ȝȚĮ ȝĮȜĮțȒ ȞȐȚȜȠȞ ȕȠȪȡIJıĮ ȖȚĮ ȞĮ ȕȠȣȡIJıȓıİIJİ ĮʌĮȜȐ IJȘ ıȣıțİȣȒ ȑȦȢ ȩIJȠȣ ȑȤȠȣȞ ĮijĮȚȡİșİȓ ȩȜİȢ ȠȚ İȝijĮȞİȓȢ ĮțĮșĮȡıȓİȢ. ĬĮ ʌȡȑʌİȚ ȞĮ ʌȡȠıȑȤİIJİ ȚįȚĮȓIJİȡĮ IJȚȢ ıȤȚıȝȑȢ, IJȠȣȢ ĮȣȜȠȪȢ, IJȚȢ İʌȚijȐȞİȚİȢ ȝİ ȝȚțȡȒ ĮʌȩıIJĮıȘ ȝİIJĮȟȪ IJȠȣȢ, IJȚȢ ıȣȞįȑıİȚȢ țĮȚ ȐȜȜİȢ įȪıțȠȜİȢ ıIJȠȞ țĮșĮȡȚıȝȩ ʌİȡȚȠȤȑȢ. ȅȚ ĮȣȜȠȓ ʌȡȑʌİȚ ȞĮ țĮșĮȡȓȗȠȞIJĮȚ ȝİ ȝĮȜĮțȒ, ȝİȖȐȜȠȣ ȝȒțȠȣȢ țĮȚ ıIJİȞȒ ȞȐȚȜȠȞ ȕȠȪȡIJıĮ. ȄİʌȜȪȞİIJİ / İțʌȜȪȞİIJİ IJȘ ıȣıțİȣȒ țĮȚ IJĮ İıȦIJİȡȚțȐ IJȘȢ İȟĮȡIJȒȝĮIJĮ ȝİ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ. ǺȐȜIJİ IJĮ ʌĮȡĮıțİȣĮıȝȑȞĮ įȚĮȜȪȝĮIJĮ țĮșĮȡȚıȝȠȪ ıİ ȝȠȞȐįĮ ȣʌİȡȒȤȦȞ. ǺȣșȓıIJİ ʌȜȒȡȦȢ IJȠ İȡȖĮȜİȓȠ ıİ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ țĮȚ İʌİȟİȡȖĮıIJİȓIJİ ȝİ ȣʌİȡȒȤȠȣȢ ȖȚĮ 15 ȜİʌIJȐ ıİ ıȣȤȞȩIJȘIJĮ 45-50 kHz. ǹijĮȚȡȑıIJİ IJȚȢ ıȣıțİȣȑȢ Įʌȩ IJȠ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ țĮȚ ȟİʌȜȪȞİIJİ ȝİ İȟĮȖȞȚıȝȑȞȠ Ȟİȡȩ ȖȚĮ IJȠȣȜȐȤȚıIJȠȞ 1 ȜİʌIJȩ. ǼțʌȜȪȞİIJİ țĮȜȐ țĮȚ İʌȓȝȠȞĮ IJȠȣȢ ĮȣȜȠȪȢ, IJȚȢ ȠʌȑȢ țĮȚ ȐȜȜİȢ įȣıʌȡȩıȚIJİȢ ʌİȡȚȠȤȑȢ. ȉȠʌȠșİIJȒıIJİ IJĮ İȡȖĮȜİȓĮ ıİ țĮIJȐȜȜȘȜȠ țĮȜȐșȚ ȖȚĮ ıȣıțİȣȒ ʌȜȪıȘȢ/ĮʌȠȜȪȝĮȞıȘȢ. ȇȣșȝȓıIJİ IJȘ ıȣıțİȣȒ ʌȜȪıȘȢ/ĮʌȠȜȪȝĮȞıȘȢ ıȪȝijȦȞĮ ȝİ IJȚȢ ʌĮȡĮȝȑIJȡȠȣȢ İʌİȟİȡȖĮıȓĮȢ ʌȠȣ ĮȞĮijȑȡȠȞIJĮȚ ıIJĮ ȕȒȝĮIJĮ 5-13.

ǺȒȝĮ 5

ȆȡȠțĮIJĮȡțIJȚțȒ ʌȜȪıȘ (ȋ2): ĮʌȠıțȜȘȡȣȝȑȞȠ IJȡİȤȠȪȝİȞȠ Ȟİȡȩ: 4 ȜİʌIJȐ

ǺȒȝĮ 6

ȌİțĮıȝȩȢ ȝİ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ. ȀĮȣIJȩ ĮʌȠıțȜȘȡȣȝȑȞȠ IJȡİȤȠȪȝİȞȠ Ȟİȡȩ: 20 įİȣIJİȡȩȜİʌIJĮ

ǺȒȝĮ 7

ǼȝȕȪșȚıȘ ıİ İȞȗȣȝĮIJȚțȩ įȚȐȜȣȝĮ: 4 ȜİʌIJȐ

ǺȒȝĮ 8

DzțʌȜȣıȘ (ȋ2): ȀȡȪȠ ĮʌȠıțȜȘȡȣȝȑȞȠ IJȡİȤȠȪȝİȞȠ Ȟİȡȩ: 15 įİȣIJİȡȩȜİʌIJĮ

ǺȒȝĮ 9

ȆȜȪıȘ ȝİ ĮʌȠȡȡȣʌĮȞIJȚțȩ: ȀĮȣIJȩ ĮʌȠıțȜȘȡȣȝȑȞȠ IJȡİȤȠȪȝİȞȠ Ȟİȡȩ: (6668°C/150-154°F): 4 ȜİʌIJȐ

ǺȒȝĮ 10

DzțʌȜȣıȘ (ȋ2): ȀȡȪȠ ĮʌȠıțȜȘȡȣȝȑȞȠ IJȡİȤȠȪȝİȞȠ Ȟİȡȩ: 4 ȜİʌIJȐ

ǺȒȝĮ 11

ĬİȡȝȚțȒ ȑțʌȜȣıȘ: ȀĮȣIJȩ ĮʌȠıțȜȘȡȣȝȑȞȠ IJȡİȤȠȪȝİȞȠ Ȟİȡȩ: (83-92°C/181198°F): 5 ȜİʌIJȐ

ǺȒȝĮ 12

DzțʌȜȣıȘ ȝİ İȟĮȖȞȚıȝȑȞȠ Ȟİȡȩ: (83-92°C/181-198°F). 10 įİȣIJİȡȩȜİʌIJĮ

ǺȒȝĮ 13

ȈIJȑȖȞȦȝĮ ȝİ țĮȣIJȩ ĮȑȡĮ: (75°C/167°F): 15-30 ȜİʌIJȐ

Σελίδα 22

x x x x x

ǼʌȚșİȫȡȘıȘ, įȠțȚȝȒ, ıȣȞIJȒȡȘıȘ țĮȚ ȜȓʌĮȞıȘ: ǼʌȚșİȦȡȒıIJİ ʌȡȠıİțIJȚțȐ țȐșİ ıȣıțİȣȒ ȖȚĮ ȞĮ įȚĮıijĮȜȓıİIJİ ȩIJȚ ȑȤȠȣȞ ĮijĮȚȡİșİȓ ȩȜİȢ ȠȚ İȝijĮȞİȓȢ İȞįİȓȟİȚȢ ȝȩȜȣȞıȘȢ. ǼȐȞ ʌĮȡĮIJȘȡȒıİIJİ ȝȩȜȣȞıȘ, İʌĮȞĮȜȐȕİIJİ IJȘ įȚĮįȚțĮıȓĮ țĮșĮȡȚıȝȠȪ / ĮʌȠȜȪȝĮȞıȘȢ. ǼȜȑȖȟIJİ IJĮ țȚȞȠȪȝİȞĮ İȟĮȡIJȒȝĮIJĮ (ʌ.Ȥ. ĮȡșȡȫıİȚȢ, țȜİȚįĮȡȚȑȢ țȠȣIJȚȫȞ, ıȣȞįİIJȒȡİȢ țĮȚ ıȣȡȩȝİȞĮ İȟĮȡIJȒȝĮIJĮ) ȖȚĮ ȞĮ įȚĮıijĮȜȓıİIJİ IJȘȞ ȠȝĮȜȒ ȜİȚIJȠȣȡȖȓĮ ıİ ȠȜȩțȜȘȡȠ IJȠ ʌȡȠIJȚșȑȝİȞȠ İȪȡȠȢ țȓȞȘıȘȢ.

x ȅʌȠȚĮįȒʌȠIJİ ıȣıțİȣȒ ʌȠȣ ȝʌȠȡİȓ ȞĮ ĮʌȠıȣȞĮȡȝȠȜȠȖȘșİȓ, ʌȡȑʌİȚ ȞĮ ĮʌȠıȣȞĮȡȝȠȜȠȖİȓIJĮȚ ʌȡȚȞ IJȘȞ IJȠʌȠșȑIJȘıȒ IJȘȢ ıIJȘ șȒțȘ.

x ǵȜİȢ ȠȚ ıȣıțİȣȑȢ ʌȡȑʌİȚ ȞĮ İȓȞĮȚ įȚİȣșİIJȘȝȑȞİȢ ȝİ IJȑIJȠȚȠȞ IJȡȩʌȠ ȫıIJİ ȞĮ įȚĮıijĮȜȚıIJİȓ Ș

ȈIJȚȢ ʌİȡȚʌIJȫıİȚȢ ȩʌȠȣ IJĮ İȡȖĮȜİȓĮ ĮʌȠIJİȜȠȪȞ IJȝȒȝĮIJĮ İȞȩȢ ȝİȖĮȜȪIJİȡȠȣ ıȣȖțȡȠIJȒȝĮIJȠȢ, ȕİȕĮȚȦșİȓIJİ ȩIJȚ ȠȚ ıȣıțİȣȑȢ ıȣȞĮȡȝȠȜȠȖȠȪȞIJĮȚ țĮIJȐȜȜȘȜĮ ȝİ IJĮ İȟĮȡIJȒȝĮIJĮ ʌȠȣ IJĮȚȡȚȐȗȠȣȞ.

x ȅ ȤȡȒıIJȘȢ ʌȡȑʌİȚ ȞĮ įȚĮıijĮȜȓıİȚ IJȘȞ ĮʌȠIJȡȠʌȒ ʌIJȫıȘȢ IJȘȢ șȒțȘȢ IJȦȞ İȡȖĮȜİȓȦȞ țĮȚ

ǼȟĮȡIJȒȝĮIJĮ ȝİ ĮȡșȡȫıİȚȢ, ʌİȡȚıIJȡȠijȚțȐ, Ȓ ĮȡșȡȦIJȐ İȟĮȡIJȒȝĮIJĮ ʌȡȑʌİȚ ȞĮ ȜȚʌĮȓȞȠȞIJĮȚ ȝİ ȣįĮIJȠįȚĮȜȣIJȩ ʌȡȠȧȩȞ (ʌ.Ȥ. ȖĮȜȐțIJȦȝĮ İȡȖĮȜİȓȦȞ Ȓ ȚıȠįȪȞĮȝȠ ȜȚʌĮȞIJȚțȩ) IJȠ ȠʌȠȓȠ İȞįİȓțȞȣIJĮȚ ȖȚĮ ȤİȚȡȠȣȡȖȚțȐ İȡȖĮȜİȓĮ ʌȠȣ ʌȡȑʌİȚ ȞĮ ĮʌȠıIJİȚȡȫȞȠȞIJĮȚ. ȅȡȚıȝȑȞĮ ȕĮıȚıȝȑȞĮ ıİ Ȟİȡȩ ȜȚʌĮȞIJȚțȐ İȡȖĮȜİȓȦȞ ʌİȡȚȑȤȠȣȞ ȦijȑȜȚȝȠȣȢ ȕĮțIJȘȡȚȠıIJĮIJȚțȠȪȢ ʌĮȡȐȖȠȞIJİȢ. ȆȡȑʌİȚ ȞĮ IJȘȡȠȪȞIJĮȚ ȠȚ ȘȝİȡȠȝȘȞȓİȢ ȜȒȟȘȢ ʌȠȣ ĮȞĮijȑȡȠȣȞ ȠȚ țĮIJĮıțİȣĮıIJȑȢ ȖȚĮ IJȚȢ ıȣȖțİȞIJȡȫıİȚȢ ȤȡȒıȘȢ-ĮȡĮȓȦıȘȢ ĮȝijȩIJİȡȦȞ IJȦȞ ĮʌȠșİȝȐIJȦȞ țĮȚ IJȦȞ įȚĮȜȣȝȐIJȦȞ.

ȆȓȞĮțĮȢ 3: ȀȦįȚțȠȓ țĮIJȘȖȠȡȚȫȞ İʌİȟİȡȖĮıȓĮȢ

ȋĮȜȪȕįȚȞĮ/ȝİIJĮȜȜȚțȐ İȡȖĮȜİȓĮ Ȓ ȝİIJĮȜȜȚțȐ İȡȖĮȜİȓĮ ʌȠȣ ȑȤȠȣȞ ıȣȞįȣĮıIJİȓ ȝİ İȟĮȡIJȒȝĮIJĮ Įʌȩ ʌȠȜȣȝİȡȒ ȣȜȚțȐ ȝİ Ȓ ȤȦȡȓȢ ĮȣȜȠijȩȡȠȣȢ țȣȜȓȞįȡȠȣȢ. ǹȣIJȑȢ ȠȚ ıȣıțİȣȑȢ İȓȞĮȚ ĮȞİțIJȚțȑȢ ıİ ȠȣįȑIJİȡȠȣȢ țĮșĮȡȚıIJȚțȠȪȢ ʌĮȡȐȖȠȞIJİȢ țĮȚ ĮȜțĮȜȚțȠȪȢ țĮșĮȡȚıIJȚțȠȪȢ ʌĮȡȐȖȠȞIJİȢ ȩIJĮȞ Ș ȤȡȒıȘ IJȠȣȢ ĮțȠȜȠȣșİȓIJĮȚ Įʌȩ ȠȣįİIJİȡȠʌȠȓȘıȘ ȠȟȑȦȞ țĮȚ ıȤȠȜĮıIJȚțȒ ȑțʌȜȣıȘ. ǹʌĮȚIJİȓIJĮȚ ĮʌȠıȣȞĮȡȝȠȜȩȖȘıȘ. ȅȚ ĮȣȜȠȓ țĮȚ ȠȚ țȠȓȜȠȚ ȤȫȡȠȚ ʌȡȑʌİȚ ȞĮ țĮșĮȡȓȗȠȞIJĮȚ ȝİ IJȠ ȤȑȡȚ. ǹȣIJȑȢ ȠȚ ıȣıțİȣȑȢ ʌȡȑʌİȚ ȞĮ țĮșĮȡȓȗȠȞIJĮȚ ıȪȝijȦȞĮ ȝİ IJȚȢ įȚĮįȚțĮıȓİȢ ȤİȚȡȠțȓȞȘIJȠȣ țĮșĮȡȚıȝȠȪ Ȓ ıȣȞįȣĮıȝȠȪ ȤİȚȡȠțȓȞȘIJȠȣ / ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞȠȣ țĮșĮȡȚıȝȠȪ ʌȠȣ ʌİȡȚȑȤȠȞIJĮȚ ıİ ĮȣIJȩȞ IJȠȞ ȠįȘȖȩ. ǼȡȖĮȜİȓĮ ʌȠȣ İȓȞĮȚ țĮIJĮıțİȣĮıȝȑȞĮ Įʌȩ IJȚIJȐȞȚȠ Ȓ țȡȐȝĮIJĮ ĮȜȠȣȝȚȞȓȠȣ Ȓ țĮȚ ĮʌĮȚIJȠȪȞ ıȣȞĮȡȝȠȜȩȖȘıȘ / ĮʌȠıȣȞĮȡȝȠȜȩȖȘıȘ țĮȚ ȐȜȜĮ ȕȠȘșȘIJȚțȐ ȝȑıĮ İʌĮȞİʌİȟİȡȖĮıȓĮȢ. ǹȣIJȑȢ ȠȚ ıȣıțİȣȑȢ ʌȡȑʌİȚ ȞĮ țĮșĮȡȓȗȠȞIJĮȚ ıȪȝijȦȞĮ ȝİ IJȚȢ įȚĮįȚțĮıȓİȢ ȤİȚȡȠțȓȞȘIJȠȣ țĮșĮȡȚıȝȠȪ Ȓ ıȣȞįȣĮıȝȠȪ ȤİȚȡȠțȓȞȘIJȠȣ / ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞȠȣ țĮșĮȡȚıȝȠȪ ʌȠȣ ʌİȡȚȑȤȠȞIJĮȚ ıİ ĮȣIJȩȞ IJȠȞ ȠįȘȖȩ. ǹȣIJȑȢ ȠȚ ıȣıțİȣȑȢ įİȞ ʌȡȑʌİȚ ȞĮ İțIJȓșİȞIJĮȚ ıİ ĮȜțĮȜȚțȠȪȢ țĮșĮȡȚıIJȚțȠȪȢ ʌĮȡȐȖȠȞIJİȢ.

x

ȈǾȂǼǿȍȈǾ: ȅȚ ʌİȡȚȠȤȑȢ ʌȠȣ ȑȤȠȣȞ țĮșȠȡȚıIJİȓ ȖȚĮ ıȣȖțİțȡȚȝȑȞİȢ ıȣıțİȣȑȢ șĮ ʌİȡȚȑȤȠȣȞ ȝȩȞȠ ıȣıțİȣȑȢ İȚįȚțȐ țĮșȠȡȚıȝȑȞİȢ ȖȚĮ IJȚȢ İȞ ȜȩȖȦ ʌİȡȚȠȤȑȢ. ǹȣIJȑȢ ȠȚ ʌȚıIJȠʌȠȚȘȝȑȞİȢ ȠįȘȖȓİȢ İʌĮȞİʌİȟİȡȖĮıȓĮȢ įİȞ ȚıȤȪȠȣȞ ȖȚĮ IJȠȣȢ įȓıțȠȣȢ IJȘȢ Medtronic ʌȠȣ ʌİȡȚȜĮȝȕȐȞȠȣȞ ıȣıțİȣȑȢ ʌȠȣ įİȞ țĮIJĮıțİȣȐȗȠȞIJĮȚ Ȓ įȚĮȞȑȝȠȞIJĮȚ Įʌȩ IJȘȞ Medtronic. ȅȚ įȓıțȠȚ țĮȚ ȠȚ șȒțİȢ İȡȖĮȜİȓȦȞ ȤȦȡȓȢ țĮșȠȡȚıȝȑȞİȢ, ʌȡȠįȚĮȝȠȡijȦȝȑȞİȢ įȚĮIJȐȟİȚȢ, Ȓ ʌȠȣ ʌİȡȚȑȤȠȣȞ ȝȘ țĮșȠȡȚıȝȑȞȠȣȢ ȤȫȡȠȣȢ Ȓ įȚĮȝİȡȓıȝĮIJĮ ȖİȞȚțȒȢ ȤȡȒıȘȢ ʌȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ȝȩȞȠ țȐIJȦ Įʌȩ IJȚȢ ĮțȩȜȠȣșİȢ ıȣȞșȒțİȢ:

ǼȜȑȖȟIJİ IJĮ İȡȖĮȜİȓĮ ȝİ ȜİʌIJȐ țĮȚ ȝĮțȡȚȐ IJȝȒȝĮIJĮ (İȚįȚțȐ IJĮ ʌİȡȚıIJȡȠijȚțȐ İȡȖĮȜİȓĮ) ȖȚĮ IJȣȤȩȞ ʌĮȡĮȝȠȡijȫıİȚȢ.

ȀȦįȚțȠȓ țĮIJȘȖȠȡȚȫȞ İʌİȟİȡȖĮıȓĮȢ: ȅȚ țȦįȚțȠȓ İʌİȟİȡȖĮıȓĮȢ ʌȠȣ ĮȞĮijȑȡȠȞIJĮȚ ıIJȠȞ ʌȓȞĮțĮ 3 İȓȞĮȚ ȤĮȡĮȖȝȑȞȠȚ ıİ ȠȡȚıȝȑȞĮ İȡȖĮȜİȓĮ țĮȚ ʌĮȡȑȤȠȣȞ ȤȡȒıȚȝİȢ ʌȜȘȡȠijȠȡȓİȢ țĮIJȐ IJȘȞ İʌȚȜȠȖȒ IJȦȞ ʌĮȡĮȖȩȞIJȦȞ țĮșĮȡȚıȝȠȪ ȝİ țĮIJȐȜȜȘȜȠ pH. Ǿ Medtronic ıȣȞȚıIJȐ IJȘȞ İʌİȟİȡȖĮıȓĮ ȩȜȦȞ IJȦȞ ıȣıțİȣȫȞ (ĮȞİȟȐȡIJȘIJĮ Įʌȩ IJȚȢ ȤĮȡĮȖȝȑȞİȢ ʌȜȘȡȠijȠȡȓİȢ) ıȪȝijȦȞĮ ȝİ IJȚȢ ȠįȘȖȓİȢ ȤİȚȡȠțȓȞȘIJȠȣ țĮșĮȡȚıȝȠȪ Ȓ ıȣȞįȣĮıȝȠȪ ȤİȚȡȠțȓȞȘIJȠȣ / ĮȣIJȠȝĮIJȠʌȠȚȘȝȑȞȠȣ țĮșĮȡȚıȝȠȪ/ĮʌȠȜȪȝĮȞıȘȢ ʌȠȣ ʌİȡȚȑȤȠȞIJĮȚ ıİ ĮȣIJȩȞ IJȠȞ ȠįȘȖȩ.

x

ǹʌȠıIJİȚȡȦȝȑȞȘ ıȣıțİȣĮıȓĮ ȈȣıțİȣĮıȓĮ ĮȞİȟȐȡIJȘIJȦȞ İȡȖĮȜİȓȦȞ: ȂʌȠȡȠȪȞ ȞĮ ȤȡȘıȚȝȠʌȠȚȘșȠȪȞ įȚĮșȑıȚȝİȢ ıIJȠ İȝʌȩȡȚȠ, ȚĮIJȡȚțȠȪ ȕĮșȝȠȪ ıĮțȠȪȜİȢ Ȓ ʌİȡȚIJȪȜȚȖȝĮ ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮIJȝȩ ȖȚĮ IJȘ ıȣıțİȣĮıȓĮ IJȦȞ ȝİȝȠȞȦȝȑȞȦȞ İȡȖĮȜİȓȦȞ. Ǿ ıȣıțİȣĮıȓĮ ʌȡȑʌİȚ ȞĮ ʌȡȠİIJȠȚȝȐȗİIJĮȚ ȝİ IJȘ ȤȡȒıȘ įȚʌȜȠȪ ʌİȡȚIJȣȜȓȖȝĮIJȠȢ ǹǹȂǿ Ȓ ȝİ ȚıȠįȪȞĮȝȘ ȝȑșȠįȠ.

ȈȣıțİȣĮıȓĮ ıİIJ İȡȖĮȜİȓȦȞ: ȈȣıțİȣȐıIJİ IJĮ ıİIJ İȡȖĮȜİȓȦȞ ıİ ȐțĮȝʌIJȠȣȢ įȓıțȠȣȢ țĮȚ șȒțİȢ ȝİ țĮȜȪȝȝĮIJĮ țĮȚ ıİ țĮșȠȡȚıȝȑȞİȢ, ʌȡȠįȚĮȝȠȡijȦȝȑȞİȢ įȚĮIJȐȟİȚȢ.

ȆȡȠijȣȜȐȟİȚȢ ĮıijĮȜİȓĮȢ: ȉȠ ıȣȞȠȜȚțȩ ȕȐȡȠȢ IJȠȣ įȓıțȠȣ Ȓ IJȘȢ șȒțȘȢ IJȣȜȚȖȝȑȞȦȞ İȡȖĮȜİȓȦȞ įİȞ ʌȡȑʌİȚ ȞĮ ȣʌİȡȕĮȓȞİȚ IJĮ 11,4kg/25lbs ȖȚĮ IJȘȞ ĮıijȐȜİȚĮ IJȠȣ ʌȡȠıȦʌȚțȠȪ ʌȠȣ ȤİȚȡȓȗİIJĮȚ IJĮ ıİIJ İȡȖĮȜİȓȦȞ. ȅȚ șȒțİȢ IJȦȞ İȡȖĮȜİȓȦȞ ʌȠȣ ȣʌİȡȕĮȓȞȠȣȞ IJĮ 11,4kg/25lbs ʌȡȑʌİȚ ȞĮ įȚĮȤȦȡȚıIJȠȪȞ ıİ ĮȞİȟȐȡIJȘIJȠȣȢ įȓıțȠȣȢ ȖȚĮ IJȘȞ ĮʌȠıIJİȓȡȦıȒ IJȠȣȢ. x ȅȚ įȓıțȠȚ țĮȚ ȠȚ șȒțİȢ ȝİ țĮȜȪȝȝĮIJĮ ȝʌȠȡȠȪȞ ȞĮ IJȣȜȚȤIJȠȪȞ ıİ IJȣʌȚțȠȪ ȚĮIJȡȚțȠȪ ȕĮșȝȠȪ ʌİȡȚIJȪȜȚȖȝĮ, ʌİȡȚIJȪȜȚȖȝĮ ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮIJȝȩ, ȝİ IJȘ ȤȡȒıȘ IJȘȢ ȝİșȩįȠȣ įȚʌȜȒȢ ʌİȡȚIJȪȜȚȟȘȢ ǹǹȂǿ Ȓ ȚıȠįȪȞĮȝȘȢ.

x

04/2010

0381424 Rev C

ȅįȘȖȩȢ ȉĮȤİȓĮȢ ǹȞĮijȠȡȐȢ

ΕΛΛΗΝΙΚΑ

įȚİȓıįȣıȘ IJȠȣ ĮIJȝȠȪ ıİ ȩȜİȢ IJȚȢ İʌȚijȐȞİȚİȢ IJȦȞ İȡȖĮȜİȓȦȞ. ȉĮ İȡȖĮȜİȓĮ įİȞ ʌȡȑʌİȚ ȞĮ ıIJȠȚȕȐȗȠȞIJĮȚ Ȓ ȞĮ IJȠʌȠșİIJȠȪȞIJĮȚ ʌȠȜȪ țȠȞIJȐ ȝİIJĮȟȪ IJȠȣȢ.

IJȘȞ ĮʌȠIJȡȠʌȒ IJȘȢ ȝİIJĮIJȩʌȚıȘȢ IJȦȞ ıȣıțİȣȫȞ ıIJȘ șȒțȘ. ȂʌȠȡȠȪȞ ȞĮ ȤȡȘıȚȝȠʌȠȚȘșȠȪȞ İʌȚșȑȝĮIJĮ ıȚȜȚțȩȞȘȢ ȖȚĮ IJȘ įȚĮIJȒȡȘıȘ IJȦȞ ıȣıțİȣȫȞ ıIJȘ șȑıȘ IJȠȣȢ.

x ȂȩȞȠ ıȣıțİȣȑȢ ʌȠȣ țĮIJĮıțİȣȐȗȠȞIJĮȚ Įʌȩ IJȘȞ Medtronic Ȓ įȚĮȞȑȝȠȞIJĮȚ Įʌȩ ĮȣIJȒȞ ʌȡȑʌİȚ ȞĮ ıȣȝʌİȡȚȜĮȝȕȐȞȠȞIJĮȚ ıIJȠȣȢ įȓıțȠȣȢ İȡȖĮȜİȓȦȞ IJȘȢ Medtronic. ȅȚ ʌȚıIJȠʌȠȚȘȝȑȞİȢ ȠįȘȖȓİȢ İʌĮȞİʌİȟİȡȖĮıȓĮȢ IJȘȢ Medtronic įİȞ ȚıȤȪȠȣȞ ȖȚĮ IJȠȣȢ įȓıțȠȣȢ IJȘȢ Medtronic ʌȠȣ ıȣȝʌİȡȚȜĮȝȕȐȞȠȣȞ ıȣıțİȣȑȢ ʌȠȣ įİȞ țĮIJĮıțİȣȐȗȠȞIJĮȚ ȠȪIJİ įȚĮȞȑȝȠȞIJĮȚ Įʌȩ IJȘȞ Medtronic.

ǹʌȠıIJİȓȡȦıȘ

x Ǿ ĮʌȠȜȪȝĮȞıȘ İȓȞĮȚ ĮʌȠįİțIJȒ ȝȩȞȠȞ ȦȢ ʌȡȠțĮIJĮȡțIJȚțȩ ıIJȐįȚȠ ȖȚĮ ʌȜȒȡȘ

ĮʌȠıIJİȓȡȦıȘ IJȦȞ ȤİȚȡȠȣȡȖȚțȫȞ İȡȖĮȜİȓȦȞ İʌĮȞĮȜȘʌIJȚțȒȢ ȤȡȒıȘȢ. ǻİȓIJİ IJȠȞ ȆȓȞĮțĮ 4 ȖȚĮ IJȚȢ İȜȐȤȚıIJİȢ ıȣȞȚıIJȫȝİȞİȢ ʌĮȡĮȝȑIJȡȠȣȢ ĮʌȠıIJİȓȡȦıȘȢ ʌȠȣ ȑȤȠȣȞ ʌȚıIJȠʌȠȚȘșİȓ Įʌȩ IJȘ Medtronic ȖȚĮ IJȘȞ ʌĮȡȠȤȒ İʌȚʌȑįȠȣ įȚĮıijȐȜȚıȘȢ ĮʌȠıIJİȓȡȦıȘȢ (sterility assurance level, SAL) IJȘȢ IJȐȟȘȢ IJȠȣ 10-6.

x ȉȠ ȞȠıȠțȠȝİȓȠ İȓȞĮȚ ȣʌİȪșȣȞȠ ȖȚĮ IJȚȢ İıȦIJİȡȚțȑȢ įȚĮįȚțĮıȓİȢ ȖȚĮ IJȘȞ

İʌĮȞĮıȣȞĮȡȝȠȜȩȖȘıȘ, İʌȚșİȫȡȘıȘ țĮȚ ıȣıțİȣĮıȓĮ IJȦȞ İȡȖĮȜİȓȦȞ ȝİIJȐ IJȠȞ ʌȜȒȡȘ țĮșĮȡȚıȝȩ IJȠȣȢ ȝİ IJȡȩʌȠ ʌȠȣ șĮ įȚĮıijĮȜȓıİȚ IJȘ įȚİȓıįȣıȘ IJȠȣ ĮIJȝȠȪ țĮȚ IJȠ İʌĮȡțȑȢ ıIJȑȖȞȦȝĮ. ȆȡȑʌİȚ İʌȓıȘȢ ȞĮ ȣʌȠįİȚȤșȠȪȞ Įʌȩ IJȠ ȞȠıȠțȠȝİȓȠ ȝȑıĮ ȖȚĮ IJȘȞ ʌȡȠıIJĮıȓĮ ȠʌȠȚȦȞįȒʌȠIJİ ĮȚȤȝȘȡȫȞ Ȓ İȞįİȤȠȝȑȞȦȢ İʌȚțȓȞįȣȞȦȞ ʌİȡȚȠȤȫȞ IJȦȞ İȡȖĮȜİȓȦȞ.

x Ǿ ĮʌȠıIJİȓȡȦıȘ įȚĮ ȣȖȡȒȢ șİȡȝȩIJȘIJĮȢ / ĮIJȝȠȪ İȓȞĮȚ Ș ʌȡȠIJİȚȞȩȝİȞȘ țĮȚ

ıȣȞȚıIJȫȝİȞȘ ȝȑșȠįȠȢ ȖȚĮ IJĮ ıİIJ ıʌȠȞįȣȜȚțȫȞ țĮȚ ȕȚȠȜȠȖȚțȫȞ İȡȖĮȜİȓȦȞ IJȘȢ Medtronic.

x ȆȡȑʌİȚ ȞĮ ĮțȠȜȠȣșȠȪȞIJĮȚ ʌȐȞIJĮ ȠȚ ȣʌȠįİȓȟİȚȢ IJȠȣ țĮIJĮıțİȣĮıIJȒ IJȘȢ ıȣıțİȣȒȢ

ĮʌȠıIJİȓȡȦıȘȢ. ȀĮIJȐ IJȘȞ ĮʌȠıIJİȓȡȦıȘ ıİIJ ʌȠȜȜĮʌȜȫȞ İȡȖĮȜİȓȦȞ ıİ ȑȞĮ țȪțȜȠ ĮʌȠıIJİȓȡȦıȘȢ. ǺİȕĮȚȦșİȓIJİ ȩIJȚ įİȞ ȣʌİȡȕĮȓȞİIJİ IJȠ ȝȑȖȚıIJȠ ijȠȡIJȓȠ ʌȠȣ țĮșȠȡȓȗİIJĮȚ Įʌȩ IJȠȞ țĮIJĮıțİȣĮıIJȒ.

x ȉĮ ıİIJ İȡȖĮȜİȓȦȞ șĮ ʌȡȑʌİȚ ȞĮ ʌȡȠİIJȠȚȝĮıIJȠȪȞ țĮIJȐȜȜȘȜĮ țĮȚ ȞĮ

ıȣıțİȣĮıIJȠȪȞ ıİ șȒțİȢ Ȓ įȓıțȠȣȢ ȝİ IJȡȩʌȠ ʌȠȣ șĮ İʌȚIJȡȑʌİIJĮȚ Ș įȚİȓıįȣıȘ ĮIJȝȠȪ țĮȚ Ș ȐȝİıȘ İʌĮijȒ IJȠȣ ȝİ ȩȜİȢ IJȚȢ İʌȚijȐȞİȚİȢ.

x ȅȚ ȝȑșȠįȠȚ ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮȚșȣȜİȞȠȟİȓįȚȠ (Ǽȅ), ʌȜȐıȝĮ ĮİȡȓȠȣ, İȟĮIJȝȚıȝȑȞȠȣ ȣʌİȡȠȟİȚįȓȠȣ IJȠȣ ȣįȡȠȖȩȞȠȣ (VHP) Ȓ ȟȘȡȒȢ șİȡȝȩIJȘIJĮȢ įİȞ ʌȡȑʌİȚ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ȖȚĮ IJĮ İʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝĮ İȡȖĮȜİȓĮ IJȘȢ Medtronic İțIJȩȢ İȐȞ IJĮ ȑȞșİIJĮ ıȣıțİȣĮıȓĮȢ İȡȖĮȜİȓȦȞ ȖȚĮ IJĮ ĮȞIJȓıIJȠȚȤĮ ʌȡȠȧȩȞIJĮ ʌĮȡȑȤȠȣȞ ıȣȖțİțȡȚȝȑȞİȢ ȠįȘȖȓİȢ ȖȚĮ IJȘȞ ĮʌȠıIJİȓȡȦıȘ ȝİ ȤȡȒıȘ IJȦȞ İȞ ȜȩȖȦ ȝİșȩįȦȞ.

ǹʌȠȜȪȝĮȞıȘ

x ȉȘȡİȓIJİ IJȚȢ įȚĮįȚțĮıȓİȢ ʌȠȣ ʌİȡȚȖȡȐijȠȞIJĮȚ ıIJȠȣȢ ȆȓȞĮțİȢ 1 Ȓ 2 țĮȚ ıIJȠȞ ȆȓȞĮțĮ 4.

ǹʌȠșȒțİȣıȘ

x ȉĮ ĮʌȠıIJİȚȡȦȝȑȞĮ, ıȣıțİȣĮıȝȑȞĮ İȡȖĮȜİȓĮ ʌȡȑʌİȚ ȞĮ ĮʌȠșȘțİȪȠȞIJĮȚ ıİ

țĮșȠȡȚıȝȑȞȠ, ʌİȡȚȠȡȚıȝȑȞȘȢ ʌȡȩıȕĮıȘȢ ȤȫȡȠ ȝİ țĮȜȩ İȟĮİȡȚıȝȩ ʌȠȣ ʌĮȡȑȤİȚ ʌȡȠıIJĮıȓĮ Įʌȩ IJȘ ıțȩȞȘ, IJĮ ȑȞIJȠȝĮ, IJĮ ʌĮȡȐıȚIJĮ țĮȚ IJȚȢ ĮțȡĮȓİȢ ıȣȞșȒțİȢ șİȡȝȠțȡĮıȓĮȢ / ȣȖȡĮıȓĮȢ.

ǼȣșȪȞİȢ IJȠȣ ȞȠıȠțȠȝİȓȠȣ ȖȚĮ IJĮ ȝİIJĮȤİȚȡȚıȝȑȞĮ İȡȖĮȜİȓĮ IJȘȢ Medtronic

x ȉĮ ıʌȠȞįȣȜȚțȐ țĮȚ ȠȡșȠʌİįȚțȐ ȤİȚȡȠȣȡȖȚțȐ İȡȖĮȜİȓĮ ȑȤȠȣȞ ȖİȞȚțȐ ȝİȖȐȜȘ

įȚȐȡțİȚĮ ȗȦȒȢ. ȍıIJȩıȠ, Ƞ ĮțĮIJȐȜȜȘȜȠȢ ȤİȚȡȚıȝȩȢ Ȓ Ș ĮȞİʌĮȡțȒȢ ʌȡȠıIJĮıȓĮ IJȠȣȢ ȝʌȠȡİȓ ȞĮ ȝİȚȫıİȚ IJĮȤȪIJĮIJĮ IJȘ įȚȐȡțİȚĮ ȗȦȒȢ IJȠȣȢ. ǼȡȖĮȜİȓĮ ʌȠȣ įİȞ ȑȤȠȣȞ ʌȜȑȠȞ IJȘȞ țĮIJȐȜȜȘȜȘ ĮʌȩįȠıȘ ȜȩȖȦ ʌĮȡĮIJİIJĮȝȑȞȘȢ ȤȡȒıȘȢ, ĮțĮIJȐȜȜȘȜȘȢ ȤȡȒıȘȢ Ȓ ĮțĮIJȐȜȜȘȜȘȢ ijȡȠȞIJȓįĮȢ ʌȡȑʌİȚ ȞĮ ĮʌȠȡȡȓʌIJȠȞIJĮȚ. ǼȚįȠʌȠȚȒıIJİ IJȠȞ IJȠʌȚțȩ ıĮȢ ĮȞIJȚʌȡȩıȦʌȠ IJȘȢ Medtronic ȖȚĮ ȠʌȠȚĮįȒʌȠIJİ ʌȡȠȕȜȒȝĮIJĮ ıȤİIJȚțȐ ȝİ IJĮ İȡȖĮȜİȓĮ.

x ȉĮ ȤȡȘıȚȝȠʌȠȚȘȝȑȞĮ ıİIJ ʌȡȑʌİȚ ȞĮ ȣʌȠȕȜȘșȠȪȞ ıİ ȩȜĮ IJĮ ȕȒȝĮIJĮ

ĮʌȠȜȪȝĮȞıȘȢ, țĮșĮȡȚıȝȠȪ, İʌȚșİȫȡȘıȘȢ țĮȚ IJİȜȚțȒȢ ĮʌȠıIJİȓȡȦıȘȢ ʌȡȚȞ İʌȚıIJȡĮijȠȪȞ ıIJȘ Medtronic.

ȆȓȞĮțĮȢ 4: ȆȚıIJȠʌȠȚȘȝȑȞİȢ ʌĮȡȐȝİIJȡȠȚ ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮIJȝȩ ȉȪʌȠȢ țȪțȜȠȣ

ĬİȡȝȠțȡĮıȓĮ

1, 2, 3

ȆȡȠțĮIJĮȡțIJȚțȒ ĮʌȠıIJİȓȡȦıȘ ıİ țİȞȩ 1, 2, 4

ȆȡȠțĮIJĮȡțIJȚțȒ ĮʌȠıIJİȓȡȦıȘ ıİ țİȞȩ 1, 2

Ȋʌȩ ʌȓİıȘ 1, 2

Ȋʌȩ ʌȓİıȘ 1. 2. 3. 4.

5, 8

ȆȓİıȘ

132°C

2,1 bar

270°F

30,7 psi

134°C

2,3 bar

273°F

33,2 psi

134°C 273°F 121°C 250°F

2,3 bar 33,2 psi 1,3 bar 18,2 psi

ȋȡȩȞȠȢ ȑțșİıȘȢ

7 ȋȡȩȞȠȢ ıIJİȖȞȫȝĮIJȠ Ȣ

4 ȜİʌIJȐ

30 ȜİʌIJȐ

20 ȜİʌIJȐ

30 ȜİʌIJȐ

20 ȜİʌIJȐ

30 ȜİʌIJȐ

60 ȜİʌIJȐ

30 ȜİʌIJȐ

6

ǼȜȐȤȚıIJȠȢ ʌȚıIJȠʌȠȚȘȝȑȞȠȢ ȤȡȩȞȠȢ ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮIJȝȩ ʌȠȣ ĮʌĮȚIJİȓIJĮȚ ȖȚĮ IJȘȞ İʌȓIJİȣȟȘ İʌȚʌȑįȠȣ įȚĮıijȐȜȚıȘȢ ıIJİȚȡȩIJȘIJĮȢ (SAL) 10-6 ǼȜȐȤȚıIJȘ ʌȚıIJȠʌȠȚȘȝȑȞȘ șİȡȝȠțȡĮıȓĮ ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮIJȝȩ ʌȠȣ ĮʌĮȚIJİȓIJĮȚ ȖȚĮ IJȘȞ İʌȓIJİȣȟȘ İʌȚʌȑįȠȣ įȚĮıijȐȜȚıȘȢ ıIJİȚȡȩIJȘIJĮȢ (SAL) 10-6. ȆȡȑʌİȚ ȞĮ IJȘȡȠȪȞIJĮȚ ȠȚ IJȠʌȚțȑȢ Ȓ İșȞȚțȑȢ ʌȡȠįȚĮȖȡĮijȑȢ ıIJȚȢ ʌİȡȚʌIJȫıİȚȢ ȩʌȠȣ ȠȚ ʌĮȡȐȝİIJȡȠȚ ĮʌȠıIJİȓȡȦıȘȢ İȓȞĮȚ ʌȚȠ ĮȣıIJȘȡȑȢ Ȓ ʌȚȠ ıȣȞIJȘȡȘIJȚțȑȢ Įʌȩ ĮȣIJȑȢ ʌȠȣ ĮȞĮijȑȡȠȞIJĮȚ ıIJȠȞ ȆȓȞĮțĮ 4. ȆĮȡȐȝİIJȡȠȚ ĮʌȠȜȪȝĮȞıȘȢ / ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮIJȝȩ ʌȠȣ ıȣȞȚıIJȫȞIJĮȚ Įʌȩ IJȠȞ ȆĮȖțȩıȝȚȠ ȅȡȖĮȞȚıȝȩ ȊȖİȓĮȢ (World Health Organization, WHO) ȖȚĮ IJȘȞ İʌĮȞİʌİȟİȡȖĮıȓĮ İȡȖĮȜİȓȦȞ ȩʌȠȣ IJȓșİIJĮȚ ȗȒIJȘȝĮ ıȤİIJȚțȐ ȝİ IJȘ ȝȩȜȣȞıȘ Įʌȩ TSE/CJD

5.

ȈIJȐșȝȘ șȐȜĮııĮȢ

6.

ȅȚ țȪțȜȠȚ ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮIJȝȩ AAMI/AORN ȖȚĮ ȝİȖĮȜȪIJİȡĮ ȤȡȠȞȚțȐ įȚĮıIJȒȝĮIJĮ Įʌȩ ĮȣIJȠȪȢ ʌȠȣ ĮȞĮijȑȡȠȞIJĮȚ ıIJȠ ʌĮȡȩȞ, İȓȞĮȚ İʌȓıȘȢ ĮʌȠįİțIJȠȓ.

7.

ȅȚ ȤȡȩȞȠȚ ıIJİȖȞȫȝĮIJȠȢ ʌȠȚțȓȜȜȠȣȞ ĮȞȐȜȠȖĮ ȝİ IJȠ ȝȑȖİșȠȢ ijȠȡIJȓȠȣ țĮȚ ʌȡȑʌİȚ ȞĮ ĮȣȟȐȞȠȞIJĮȚ ȖȚĮ ȝİȖĮȜȪIJİȡĮ ijȠȡIJȓĮ.

8.

ǼȜȐȤȚıIJȘ ʌȚıIJȠʌȠȚȘȝȑȞȘ ʌȓİıȘʌȓİıȘ ĮʌȠıIJİȓȡȦıȘȢ ȝİ ĮIJȝȩ ʌȠȣ ĮʌĮȚIJİȓIJĮȚ ȖȚĮ IJȘȞ İʌȓIJİȣȟȘ İʌȚʌȑįȠȣ įȚĮıijȐȜȚıȘȢ ıIJİȚȡȩIJȘIJĮȢ (SAL) 10-6.

ȈǾȂǼǿȍȈǾ: ȅȚ ȠįȘȖȓİȢ IJȠȣ țĮIJĮıțİȣĮıIJȒ IJȘȢ ıȣıțİȣȒȢ ĮʌȠıIJİȓȡȦıȘȢ ȖȚĮ IJȚȢ ȜİȚIJȠȣȡȖȓİȢ țĮȚ IJȘ įȚĮȝȩȡijȦıȘ ijȠȡIJȓȠȣ ʌȡȑʌİȚ ȞĮ IJȘȡȠȪȞIJĮȚ İʌĮțȡȚȕȫȢ. ȈȘȝĮȞIJȚțȒ ıȘȝİȓȦıȘ

x ȅȚ ȠįȘȖȓİȢ ıİ ĮȣIJȩȞ IJȠȞ ȠįȘȖȩ ȑȤȠȣȞ ʌȚıIJȠʌȠȚȘșİȓ Įʌȩ IJȘȞ Medtronic ȦȢ ȀǹȉǹȁȁǾȁǼȈ ȖȚĮ IJȘȞ

ʌȡȠİIJȠȚȝĮıȓĮ ȚĮIJȡȚțȫȞ ıȣıțİȣȫȞ ȖȚĮ İʌĮȞĮȜȘʌIJȚțȒ ȤȡȒıȘ. Ǿ ʌȚıIJȠʌȠȓȘıȘ İʌȑįİȚȟİ İʌȓʌİįȠ -6 įȚĮıijȐȜȚıȘȢ ıIJİȚȡȩIJȘIJĮȢ IJȘȢ IJȐȟȘȢ IJȠȣ 10 . ǹʌȠIJİȜİȓ İȣșȪȞȘ IJȠȣ ȣʌİȪșȣȞȠȣ İʌİȟİȡȖĮıȓĮȢ ȞĮ įȚĮıijĮȜȓıİȚ ȩIJȚ Ș İʌİȟİȡȖĮıȓĮ ȑȤİȚ ȩȞIJȦȢ ʌȡĮȖȝĮIJȠʌȠȚȘșİȓ ȝİ IJȘ ȤȡȒıȘ İȟȠʌȜȚıȝȠȪ, ȣȜȚțȫȞ țĮȚ ʌȡȠıȦʌȚțȠȪ ıIJȘ ȝȠȞȐįĮ İʌİȟİȡȖĮıȓĮȢ ʌȠȣ ȑȤȠȣȞ IJȘȞ ʌȚıIJȠʌȠȓȘıȘ ȖȚĮ IJȘȞ İʌȓIJİȣȟȘ IJȠȣ İʌȚșȣȝȘIJȠȪ ĮʌȠIJİȜȑıȝĮIJȠȢ. ǹȣIJȩ ĮʌĮȚIJİȓ ʌȚıIJȠʌȠȓȘıȘ țĮȚ IJĮțIJȚțȒ ʌĮȡĮțȠȜȠȪșȘıȘ IJȘȢ įȚĮįȚțĮıȓĮȢ. ȅȝȠȓȦȢ, ȠʌȠȚĮįȒʌȠIJİ ĮʌȩțȜȚıȘ IJȠȣ ȣʌİȪșȣȞȠȣ İʌİȟİȡȖĮıȓĮȢ Įʌȩ IJȚȢ ȠįȘȖȓİȢ ʌȠȣ ʌĮȡȑȤȠȞIJĮȚ, ʌȡȑʌİȚ ȞĮ ĮȟȚȠȜȠȖȘșİȓ țĮIJȐȜȜȘȜĮ ȖȚĮ IJȘȞ ĮʌȠIJİȜİıȝĮIJȚțȩIJȘIJĮ țĮȚ IJȚȢ İȞįİȤȩȝİȞİȢ ĮȞİʌȚșȪȝȘIJİȢ ıȣȞȑʌİȚİȢ. ȅȚ ȤȡȒıIJİȢ ʌȡȑʌİȚ IJȩIJİ ȞĮ țĮșȚİȡȫıȠȣȞ ȑȞĮ țĮIJȐȜȜȘȜȠ ʌȡȦIJȩțȠȜȜȠ țĮșĮȡȚıȝȠȪ ȖȚĮ IJȚȢ İʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝİȢ ȚĮIJȡȚțȑȢ ıȣıțİȣȑȢ ʌȠȣ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ıIJĮ țȑȞIJȡĮ IJȠȣȢ, ȝİ IJȘ ȤȡȒıȘ IJȦȞ ȣʌȠįİȓȟİȦȞ IJȠȣ țĮIJĮıțİȣĮıIJȒ IJȘȢ ıȣıțİȣȒȢ țĮȚ IJȠȣ țĮIJĮıțİȣĮıIJȒ IJȘȢ ıȣıțİȣȒȢ țĮșĮȡȚıȝȠȪ.

x ȁȩȖȦ IJȦȞ ʌȠȜȜĮʌȜȫȞ ʌĮȡĮȝȑIJȡȦȞ ʌȠȣ İȝʌȜȑțȠȞIJĮȚ ıIJȘȞ ĮʌȠıIJİȓȡȦıȘ / ĮʌȠȜȪȝĮȞıȘ, țȐșİ

ȚĮIJȡȚțȩ țȑȞIJȡȠ ʌȡȑʌİȚ ȞĮ ȕĮșȝȠȞȠȝİȓ țĮȚ ȞĮ İʌĮȜȘșİȪİȚ IJȘ įȚĮįȚțĮıȓĮ ĮʌȠıIJİȓȡȦıȘȢ / ĮʌȠȜȪȝĮȞıȘȢ (ʌ.Ȥ. șİȡȝȠțȡĮıȓĮ, ȤȡȩȞȠȚ) ʌȠȣ ȤȡȘıȚȝȠʌȠȚİȓIJĮȚ ȖȚĮ IJȠȞ İȟȠʌȜȚıȝȩ IJȠȣ. ȅȚ ʌȚıIJȠʌȠȚȒıİȚȢ ʌȠȣ ĮȞĮijȑȡȠȞIJĮȚ ıIJȠȞ ȆȓȞĮțĮ 4 ʌȡĮȖȝĮIJȠʌȠȚȒșȘțĮȞ ȝİ IJȚȢ șȒțİȢ țĮȚ IJȠȣȢ įȓıțȠȣȢ ĮʌȠșȒțİȣıȘȢ Įʌȩ ĮȜȠȣȝȓȞȚȠ IJȘȢ Medtronic.

x ǹʌȠIJİȜİȓ İȣșȪȞȘ IJȠȣ ȚĮIJȡȚțȠȪ țȑȞIJȡȠȣ ȞĮ įȚĮıijĮȜȓıİȚ ȩIJȚ Ș İʌĮȞİʌİȟİȡȖĮıȓĮ ʌȡĮȖȝĮIJȠʌȠȚİȓIJĮȚ ȝİ IJȘ ȤȡȒıȘ IJȠȣ țĮIJȐȜȜȘȜȠȣ İȟȠʌȜȚıȝȠȪ țĮȚ ȣȜȚțȫȞ țĮȚ ȩIJȚ IJȠ ʌȡȠıȦʌȚțȩ ıIJȚȢ İȖțĮIJĮıIJȐıİȚȢ İʌĮȞİʌİȟİȡȖĮıȓĮȢ ȑȤİȚ ȜȐȕİȚ İʌĮȡțȒ İțʌĮȓįİȣıȘ ȖȚĮ IJȘȞ İʌȓIJİȣȟȘ IJȦȞ İʌȚșȣȝȘIJȫȞ ĮʌȠIJİȜİıȝȐIJȦȞ.

ȆȁǾȇȅĭȅȇǿǼȈ īǿǹ ȉǾȃ ǼȄȊȆǾȇǼȉǾȈǾ ȉȍȃ ȆǼȁǹȉȍȃ:

ǻǿǼȊĬȊȃȈǾ ȉǾȁǼĭȍȃȅ Medtronic, Inc. 800 933 2635 (ıIJȚȢ Ǿ.Ȇ.ǹ.) 1800 Pyramid Place +1 901 396 3133 (İțIJȩȢ IJȦȞ Ǿ.Ȇ.ǹ.) Memphis, TN 38132 ĭĮȟ +1 901 396 0356 Medtronic B.V. ȉȘȜ.:+ 31 45 566 80 00 Earl Bakkenstraat 6422 PJ Heerlen ȅȜȜĮȞįȓĮ ȅ ȠįȘȖȩȢ țĮșĮȡȚıȝȠȪ țĮȚ ıȣȞIJȒȡȘıȘȢ İȡȖĮȜİȓȦȞ IJȘȢ Medtronic țĮȚ Ƞ ĮȞIJȓıIJȠȚȤȠȢ ȅįȘȖȩȢ ȉĮȤİȓĮȢ ǹȞĮijȠȡȐȢ įȚĮIJȓșİȞIJĮȚ ıIJȠȞ ȚıIJȩIJȠʌȠ www.medtronic.com/manuals

Σελίδα 23

Ʉɪɚɬɤɨɟ ɫɩɪɚɜɨɱɧɨɟ ɪɭɤɨɜɨɞɫɬɜɨ

РУССКИЙ

ɍɯɨɞ ɡɚ ɢɧɫɬɪɭɦɟɧɬɚɦɢ, ɨɱɢɫɬɤɚ ɢ ɫɬɟɪɢɥɢɡɚɰɢɹ

x

ȼ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ISO 17664

Ɉɛɪɚɬɢɬɟ ɜɧɢɦɚɧɢɟ:

x

x

ɗɬɨ ɪɭɤɨɜɨɞɫɬɜɨ ɨɬɧɨɫɢɬɫɹ ɤ ɫɩɢɧɚɥɶɧɵɦ ɢ ɛɢɨɥɨɝɢɱɟɫɤɢɦ ɢɧɫɬɪɭɦɟɧɬɚɦ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɩɨɥɶɡɨɜɚɧɢɹ ɤɨɦɩɚɧɢɢ Medtronic ɢ ɞɨɥɠɧɨ ɛɵɬɶ ɬɳɚɬɟɥɶɧɨ ɢɡɭɱɟɧɨ. ɗɬɨ ɪɭɤɨɜɨɞɫɬɜɨ ɞɨɩɨɥɧɹɟɬ ɢɧɫɬɪɭɤɰɢɢ ɤɨɦɩɚɧɢɢ Medtronic, ɨɩɭɛɥɢɤɨɜɚɧɧɵɟ ɜ ɭɩɚɤɨɜɨɱɧɵɯ ɢɧɮɨɪɦɚɰɢɨɧɧɵɯ ɜɤɥɚɞɵɲɚɯ ɞɥɹ ɩɨɥɶɡɨɜɚɬɟɥɹ, ɤɚɫɚɸɳɢɯɫɹ ɭɯɨɞɚ ɡɚ ɢɧɫɬɪɭɦɟɧɬɚɦɢ, ɢɯ ɨɱɢɫɬɤɢ ɢ ɫɬɟɪɢɥɢɡɚɰɢɢ. ɗɬɨ ɪɭɤɨɜɨɞɫɬɜɨ ɜɤɥɸɱɚɟɬ ɢɧɫɬɪɭɤɰɢɢ ɩɨ ɨɛɪɚɛɨɬɤɟ ɜɫɟɯ ɭɫɬɪɨɣɫɬɜ ɤɨɦɩɚɧɢɢ Medtronic ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɩɨɥɶɡɨɜɚɧɢɹ, ɢɫɩɨɥɶɡɭɸɳɢɯ ɮɟɪɦɟɧɬɚɬɢɜɧɵɟ, ɧɟɣɬɪɚɥɶɧɵɟ ɢ ɳɟɥɨɱɧɵɟ ɱɢɫɬɹɳɢɟ ɫɪɟɞɫɬɜɚ.

ɉɊɂɆȿɑȺɇɂȿ: ɇɟɤɨɬɨɪɵɟ ɪɚɫɬɜɨɪɵ, ɧɚɩɪɢɦɟɪ, ɢɦɟɸɳɢɟ ɳɟɥɨɱɧɭɸ ɨɫɧɨɜɭ ɢɥɢ ɫɨɞɟɪɠɚɳɢɟ ɢɡɜɟɫɬɶ, ɝɥɭɬɚɪɨɜɵɣ ɚɥɶɞɟɝɢɞ ɢɥɢ ɮɨɪɦɚɥɢɧ, ɦɨɝɭɬ ɩɨɜɪɟɞɢɬɶ ɧɟɤɨɬɨɪɵɟ ɭɫɬɪɨɣɫɬɜɚ, ɜ ɨɫɨɛɟɧɧɨɫɬɢ ɢɧɫɬɪɭɦɟɧɬɵ, ɢɡɝɨɬɨɜɥɟɧɧɵɟ ɢɡ ɦɹɝɤɢɯ ɦɟɬɚɥɥɨɜ. ɗɬɢ ɪɚɫɬɜɨɪɵ ɧɟɥɶɡɹ ɢɫɩɨɥɶɡɨɜɚɬɶ ɞɥɹ ɢɧɫɬɪɭɦɟɧɬɨɜ ɢɡ ɚɥɸɦɢɧɢɹ ɢɥɢ ɚɧɨɞɢɪɨɜɚɧɧɨɝɨ ɚɥɸɦɢɧɢɹ.

x

x x x

ȼɫɟ ɭɫɬɪɨɣɫɬɜɚ ɤɨɦɩɚɧɢɢ Medtronic ɦɨɝɭɬ ɛɵɬɶ ɛɟɡɨɩɚɫɧɨ ɢ ɷɮɮɟɤɬɢɜɧɨ ɩɨɜɬɨɪɧɨ ɨɛɪɚɛɨɬɚɧɵ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɪɭɱɧɵɯ ɢɥɢ ɤɨɦɛɢɧɢɪɨɜɚɧɧɵɯ ɪɭɱɧɵɯ ɢ ɚɜɬɨɦɚɬɢɡɢɪɨɜɚɧɧɵɯ ɩɪɨɰɟɞɭɪ ɦɨɣɤɢ, ɨɱɢɫɬɤɢ ɢ ɞɟɡɢɧɮɟɤɰɢɢ, ɨɩɢɫɚɧɧɵɯ ɜ ɞɚɧɧɨɦ ɪɭɤɨɜɨɞɫɬɜɟ. ɉɨɥɶɡɨɜɚɬɟɥɶ/ɪɚɛɨɬɧɢɤ ɞɨɥɠɟɧ ɫɨɛɥɸɞɚɬɶ ɦɟɫɬɧɵɟ ɡɚɤɨɧɵ ɢ ɩɨɫɬɚɧɨɜɥɟɧɢɹ ɜ ɫɬɪɚɧɚɯ, ɜ ɤɨɬɨɪɵɯ ɬɪɟɛɨɜɚɧɢɹ ɤ ɩɨɜɬɨɪɧɨɣ ɨɛɪɚɛɨɬɤɟ ɛɨɥɟɟ ɠɟɫɬɤɢɟ, ɱɟɦ ɭɤɚɡɚɧɧɵɟ ɜ ɞɚɧɧɨɦ ɪɭɤɨɜɨɞɫɬɜɟ. ɇɨɜɵɟ ɢ ɛɵɜɲɢɟ ɜ ɭɩɨɬɪɟɛɥɟɧɢɢ ɢɧɫɬɪɭɦɟɧɬɵ ɞɨɥɠɧɵ ɛɵɬɶ ɩɨɥɧɨɫɬɶɸ ɨɛɪɚɛɨɬɚɧɵ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ɞɚɧɧɵɦɢ ɩɪɨɰɟɞɭɪɚɦɢ ɞɨ ɢɯ ɩɪɢɦɟɧɟɧɢɹ. ȼɫɟ ɭɫɬɪɨɣɫɬɜɚ ɤɨɦɩɚɧɢɢ Medtronic ɪɚɫɫɦɚɬɪɢɜɚɸɬɫɹ ɤɚɤ «ɤɪɢɬɢɱɟɫɤɢɟ», ɩɨɫɤɨɥɶɤɭ ɨɧɢ ɩɪɨɧɢɤɚɸɬ ɜ ɬɟɥɨ ɢɥɢ ɩɨɞɜɟɪɝɚɸɬɫɹ ɜɨɡɞɟɣɫɬɜɢɸ ɤɪɨɜɢ.

ɉɪɟɞɭɩɪɟɠɞɟɧɢɹ ɢ ɩɪɟɞɨɫɬɟɪɟɠɟɧɢɹ:

x

x

x x

x

x

ɍɧɢɜɟɪɫɚɥɶɧɵɟ ɩɪɟɞɨɫɬɟɪɟɠɟɧɢɹ ɞɨɥɠɧɵ ɭɱɢɬɵɜɚɬɶɫɹ ɜɫɟɦ ɩɟɪɫɨɧɚɥɨɦ ɛɨɥɶɧɢɰ, ɤɨɬɨɪɵɣ ɪɚɛɨɬɚɟɬ ɫ ɢɧɮɢɰɢɪɨɜɚɧɧɵɦɢ ɢɥɢ ɩɨɬɟɧɰɢɚɥɶɧɨ ɢɧɮɢɰɢɪɨɜɚɧɧɵɦɢ ɦɟɞɢɰɢɧɫɤɢɦɢ ɭɫɬɪɨɣɫɬɜɚɦɢ. ɇɟɨɛɯɨɞɢɦɨ ɫɨɛɥɸɞɚɬɶ ɨɫɬɨɪɨɠɧɨɫɬɶ ɩɪɢ ɪɚɛɨɬɟ ɫ ɭɫɬɪɨɣɫɬɜɚɦɢ, ɢɦɟɸɳɢɦɢ ɨɫɬɪɵɟ ɜɵɫɬɭɩɵ ɢɥɢ ɪɟɠɭɳɢɟ ɤɪɨɦɤɢ. ɉɪɢ ɨɛɪɚɳɟɧɢɢ ɢɥɢ ɪɚɛɨɬɟ ɫ ɢɧɮɢɰɢɪɨɜɚɧɧɵɦɢ ɢɥɢ ɩɨɬɟɧɰɢɚɥɶɧɨ ɢɧɮɢɰɢɪɨɜɚɧɧɵɦɢ ɦɚɬɟɪɢɚɥɚɦɢ, ɭɫɬɪɨɣɫɬɜɚɦɢ ɢ ɨɛɨɪɭɞɨɜɚɧɢɟɦ ɧɟɨɛɯɨɞɢɦɨ ɧɚɞɟɜɚɬɶ ɫɪɟɞɫɬɜɚ ɢɧɞɢɜɢɞɭɚɥɶɧɨɣ ɡɚɳɢɬɵ (ɋɂɁ). ɋɪɟɞɫɬɜɚ ɢɧɞɢɜɢɞɭɚɥɶɧɨɣ ɡɚɳɢɬɵ ɜɤɥɸɱɚɸɬ ɦɟɞɢɰɢɧɫɤɢɟ ɯɚɥɚɬɵ, ɦɚɫɤɢ, ɨɱɤɢ, ɡɚɳɢɬɧɵɟ ɷɤɪɚɧɵ ɞɥɹ ɥɢɰɚ, ɩɟɪɱɚɬɤɢ ɢ ɛɚɯɢɥɵ. ɇɟ ɫɬɚɜɶɬɟ ɬɹɠɟɥɵɟ ɢɧɫɬɪɭɦɟɧɬɵ ɧɚ ɥɟɝɤɢɟ ɭɫɬɪɨɣɫɬɜɚ. ȼ ɩɪɨɰɟɞɭɪɚɯ ɪɭɱɧɨɣ ɨɱɢɫɬɤɢ ɧɟɥɶɡɹ ɢɫɩɨɥɶɡɨɜɚɬɶ ɦɟɬɚɥɥɢɱɟɫɤɢɟ ɳɟɬɤɢ ɢɥɢ ɝɭɛɤɢ ɞɥɹ ɩɪɨɦɵɜɤɢ. ɗɬɢ ɦɚɬɟɪɢɚɥɵ ɩɨɜɪɟɞɹɬ ɩɨɜɟɪɯɧɨɫɬɶ ɢ ɨɬɞɟɥɤɭ ɢɧɫɬɪɭɦɟɧɬɨɜ. ɋɥɟɞɭɟɬ ɢɫɩɨɥɶɡɨɜɚɬɶ ɳɟɬɤɢ ɫ ɦɹɝɤɨɣ ɧɟɣɥɨɧɨɜɨɣ ɳɟɬɢɧɨɣ ɢ ɟɪɲɢɤɢ ɞɥɹ ɱɢɫɬɤɢ ɥɚɛɨɪɚɬɨɪɧɨɝɨ ɨɛɨɪɭɞɨɜɚɧɢɹ. ɇɟ ɞɨɩɭɫɤɚɣɬɟ ɜɵɫɵɯɚɧɢɹ ɢɧɮɢɰɢɪɨɜɚɧɧɵɯ ɭɫɬɪɨɣɫɬɜ ɩɟɪɟɞ ɩɨɜɬɨɪɧɨɣ ɨɛɪɚɛɨɬɤɨɣ. ɇɟ ɞɨɩɭɫɤɚɣɬɟ ɡɚɫɵɯɚɧɢɹ ɤɪɨɜɢ, ɛɢɨɥɨɝɢɱɟɫɤɢɯ ɠɢɞɤɨɫɬɟɣ, ɨɫɬɚɬɤɨɜ ɤɨɫɬɢ ɢɥɢ ɬɤɚɧɟɣ, ɫɨɥɟɜɨɝɨ ɪɚɫɬɜɨɪɚ ɢɥɢ ɞɟɡɢɧɮɢɰɢɪɭɸɳɢɯ ɫɪɟɞɫɬɜ ɧɚ ɢɫɩɨɥɶɡɨɜɚɧɧɵɯ ɭɫɬɪɨɣɫɬɜɚɯ, ɱɬɨɛɵ ɨɛɥɟɝɱɢɬɶ ɜɫɟ ɩɨɫɥɟɞɭɸɳɢɟ ɷɬɚɩɵ ɨɱɢɫɬɤɢ ɢ ɫɬɟɪɢɥɢɡɚɰɢɢ. ɋɨɥɟɜɨɣ ɪɚɫɬɜɨɪ ɢ ɱɢɫɬɹɳɢɟ ɢ ɞɟɡɢɧɮɢɰɢɪɭɸɳɢɟ ɫɪɟɞɫɬɜɚ, ɫɨɞɟɪɠɚɳɢɟ ɚɥɶɞɟɝɢɞ, ɪɬɭɬɶ, ɚɤɬɢɜɧɵɣ ɯɥɨɪ, ɯɥɨɪɢɞɵ, ɛɪɨɦ, ɛɪɨɦɢɞɵ, ɣɨɞ ɢɥɢ ɣɨɞɢɞɵ ɜɵɡɵɜɚɸɬ ɤɨɪɪɨɡɢɸ ɢ ɧɟ ɞɨɥɠɧɵ ɢɫɩɨɥɶɡɨɜɚɬɶɫɹ. ɂɧɫɬɪɭɦɟɧɬɵ ɧɟɥɶɡɹ ɩɨɦɟɳɚɬɶ ɢɥɢ ɩɨɝɪɭɠɚɬɶ ɜ ɪɚɫɬɜɨɪ Ɋɢɧɝɟɪɚ.

04/2010

ɋɦɚɡɤɢ ɧɚ ɨɫɧɨɜɟ ɦɢɧɟɪɚɥɶɧɵɯ ɦɚɫɟɥ ɢɥɢ ɫɢɥɢɤɨɧɚ ɧɟ ɞɨɥɠɧɵ ɩɪɢɦɟɧɹɬɶɫɹ, ɩɨɫɤɨɥɶɤɭ ɨɧɢ: 1) ɩɨɤɪɵɜɚɸɬ ɦɢɤɪɨɨɪɝɚɧɢɡɦɵ, 2) ɩɪɟɩɹɬɫɬɜɭɸɬ ɩɪɹɦɨɦɭ ɤɨɧɬɚɤɬɭ ɩɨɜɟɪɯɧɨɫɬɢ ɫ ɩɚɪɨɦ, 3) ɭɞɚɥɹɸɬɫɹ ɫ ɬɪɭɞɨɦ.

0381424 Rev C x ɂɧɫɬɪɭɦɟɧɬɵ ɧɟɨɛɯɨɞɢɦɨ ɨɱɢɫɬɢɬɶ ɜ ɬɟɱɟɧɢɟ 30 ɦɢɧɭɬ ɫ ɦɨɦɟɧɬɚ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɞɥɹ ɦɢɧɢɦɢɡɚɰɢɢ ɜɨɡɦɨɠɧɨɫɬɢ ɜɵɫɵɯɚɧɢɹ ɞɨ ɨɱɢɫɬɤɢ.

x ɂɫɩɨɥɶɡɨɜɚɧɧɵɟ ɢɧɫɬɪɭɦɟɧɬɵ ɫɥɟɞɭɟɬ ɩɟɪɟɦɟɫɬɢɬɶ ɜ

ɰɟɧɬɪɚɥɶɧɵɣ ɫɬɟɪɢɥɢɡɚɰɢɨɧɧɵɣ ɛɥɨɤ ɜ ɡɚɳɢɳɟɧɧɵɯ ɢɥɢ ɡɚɤɪɵɬɵɯ ɤɨɧɬɟɣɧɟɪɚɯ ɞɥɹ ɩɪɟɞɨɬɜɪɚɳɟɧɢɹ ɪɢɫɤɚ ɡɚɪɚɠɟɧɢɹ.

ɉɪɟɞɟɥɵ ɩɪɢɦɟɧɟɧɢɹ ɢ ɨɝɪɚɧɢɱɟɧɢɹ:

x

Ⱦɥɹ ɨɱɢɫɬɤɢ ɭɫɬɪɨɣɫɬɜ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɤɨɦɩɚɧɢɢ Medtronic ɪɟɤɨɦɟɧɞɭɸɬɫɹ ɢ ɩɪɟɞɩɨɱɬɢɬɟɥɶɧɵ ɮɟɪɦɟɧɬɚɬɢɜɧɵɟ ɢ ɱɢɫɬɹɳɢɟ ɚɝɟɧɬɵ ɫ ɧɟɣɬɪɚɥɶɧɵɦ ɪɇ. ɓɟɥɨɱɧɵɟ ɫɪɟɞɫɬɜɚ ɫ ɪɇ d12 ɦɨɝɭɬ ɢɫɩɨɥɶɡɨɜɚɬɶɫɹ ɞɥɹ ɨɱɢɫɬɤɢ ɢɧɫɬɪɭɦɟɧɬɨɜ, ɢɡɝɨɬɨɜɥɟɧɧɵɯ ɢɡ ɧɟɪɠɚɜɟɸɳɟɣ ɫɬɚɥɢ ɢ ɧɟɤɨɬɨɪɵɯ ɩɨɥɢɦɟɪɨɜ, ɜ ɫɬɪɚɧɚɯ, ɝɞɟ ɷɬɨ ɬɪɟɛɭɟɬɫɹ ɡɚɤɨɧɚɦɢ ɢɥɢ ɦɟɫɬɧɵɦɢ ɩɨɫɬɚɧɨɜɥɟɧɢɹɦɢ; ɢɥɢ ɝɞɟ ɢɦɟɟɬɫɹ ɨɩɚɫɧɨɫɬɶ ɩɪɢɨɧɧɵɯ ɡɚɛɨɥɟɜɚɧɢɣ, ɬɚɤɢɯ ɤɚɤ ɬɪɚɧɫɦɢɫɫɢɜɧɚɹ ɝɭɛɱɚɬɚɹ ɷɧɰɟɮɚɥɨɩɚɬɢɹ ɢ ɛɨɥɟɡɧɶ Ʉɪɟɣɬɰɮɟɥɶɞɚ-əɤɨɛɚ. x Ⱥɜɬɨɦɚɬɢɱɟɫɤɚɹ ɨɱɢɫɬɤɚ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɬɨɥɶɤɨ ɦɨɸɳɟɣ/ɞɟɡɢɧɮɢɰɢɪɭɸɳɟɣ ɦɚɲɢɧɵ ɦɨɠɟɬ ɛɵɬɶ ɧɟɷɮɮɟɤɬɢɜɧɨɣ ɞɥɹ ɫɩɢɧɚɥɶɧɵɯ ɢ ɛɢɨɥɨɝɢɱɟɫɤɢɯ ɢɧɫɬɪɭɦɟɧɬɨɜ. Ɋɟɤɨɦɟɧɞɭɟɬɫɹ ɩɨɥɧɵɣ ɩɪɨɰɟɫɫ ɪɭɱɧɨɣ ɢɥɢ ɤɨɦɛɢɧɢɪɨɜɚɧɧɨɣ ɪɭɱɧɨɣ ɢ ɚɜɬɨɦɚɬɢɱɟɫɤɨɣ ɦɚɲɢɧɧɨɣ ɨɱɢɫɬɤɢ ɢ ɞɟɡɢɧɮɟɤɰɢɢ. x ȼɚɠɧɨ ɬɳɚɬɟɥɶɧɨ ɩɨɥɧɨɫɬɶɸ ɧɟɣɬɪɚɥɢɡɨɜɚɬɶ ɢ ɫɦɵɬɶ ɫ ɭɫɬɪɨɣɫɬɜ ɳɟɥɨɱɧɵɟ ɱɢɫɬɹɳɢɟ ɫɪɟɞɫɬɜɚ. ɉɊɂɆȿɑȺɇɂȿ: Ȼɨɪɵ, ɞɪɢɥɶɛɨɪɵ, ɪɚɫɩɚɬɨɪɵ ɢ ɞɪɭɝɢɟ ɪɟɠɭɳɢɟ ɭɫɬɪɨɣɫɬɜɚ ɧɟɨɛɯɨɞɢɦɨ ɬɳɚɬɟɥɶɧɨ ɨɫɦɚɬɪɢɜɚɬɶ ɩɨɫɥɟ ɨɛɪɚɛɨɬɤɢ ɳɟɥɨɱɧɵɦɢ ɞɟɬɟɪɝɟɧɬɚɦɢ ɞɥɹ ɬɨɝɨ, ɱɬɨɛɵ ɭɛɟɞɢɬɶɫɹ ɜ ɩɪɢɝɨɞɧɨɫɬɢ ɪɟɠɭɳɢɯ ɤɪɨɦɨɤ ɤ ɢɫɩɨɥɶɡɨɜɚɧɢɸ.

x ɂɧɫɬɪɭɦɟɧɬɵ ɞɨɥɠɧɵ ɛɵɬɶ ɭɞɚɥɟɧɵ ɫ ɦɟɬɚɥɥɢɱɟɫɤɢɯ ɢɥɢ

ɩɨɥɢɦɟɪɧɵɯ ɥɨɬɤɨɜ ɞɥɹ ɜɵɩɨɥɧɟɧɢɹ ɩɪɨɰɟɞɭɪ ɪɭɱɧɨɣ ɢɥɢ ɚɜɬɨɦɚɬɢɱɟɫɤɨɣ ɨɱɢɫɬɤɢ. Ʌɨɬɤɢ, ɹɳɢɤɢ ɢ ɤɪɵɲɤɢ ɨɬ ɢɧɫɬɪɭɦɟɧɬɨɜ ɞɨɥɠɧɵ ɱɢɫɬɢɬɶɫɹ ɨɬɞɟɥɶɧɨ. ɂɫɤɥɸɱɟɧɢɟɦ ɢɡ ɷɬɨɝɨ ɩɪɚɜɢɥɚ ɹɜɥɹɸɬɫɹ ɧɟɫɬɟɪɢɥɶɧɵɟ, ɨɞɧɨɪɚɡɨɜɵɟ ɩɥɚɫɬɢɧɱɚɬɵɟ ɢ ɜɢɧɬɨɜɵɟ ɢɦɩɥɚɧɬɵ. ɉɥɚɫɬɢɧɵ ɢ ɜɢɧɬɵ ɦɨɝɭɬ ɨɫɬɚɜɚɬɶɫɹ ɜ ɥɨɬɤɟ ɢɥɢ ɤɨɧɬɟɣɧɟɪɟ ɞɥɹ ɩɨɜɬɨɪɧɨɣ ɨɛɪɚɛɨɬɤɢ. x ɉɨɜɬɨɪɧɚɹ ɨɛɪɚɛɨɬɤɚ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ɞɚɧɧɨɣ ɢɧɫɬɪɭɤɰɢɟɣ ɨɤɚɡɵɜɚɟɬ ɦɢɧɢɦɚɥɶɧɨɟ ɜɨɡɞɟɣɫɬɜɢɟ ɧɚ ɢɧɫɬɪɭɦɟɧɬɵ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɩɨɥɶɡɨɜɚɧɢɹ ɤɨɦɩɚɧɢɢ Medtronic, ɟɫɥɢ ɧɟ ɨɝɨɜɨɪɟɧɨ ɢɧɨɟ. ɋɪɨɤ ɝɨɞɧɨɫɬɢ ɞɥɹ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɢɧɫɬɪɭɦɟɧɬɨɜ ɢɡ ɧɟɪɠɚɜɟɸɳɟɣ ɫɬɚɥɢ ɢɥɢ ɞɪɭɝɢɯ ɦɟɬɚɥɥɨɜ ɨɛɵɱɧɨ ɨɩɪɟɞɟɥɹɟɬɫɹ ɢɡɧɨɫɨɦ ɢ ɩɨɜɪɟɠɞɟɧɢɟɦ ɜ ɪɟɡɭɥɶɬɚɬɟ ɰɟɥɟɜɨɝɨ ɯɢɪɭɪɝɢɱɟɫɤɨɝɨ ɢɫɩɨɥɶɡɨɜɚɧɢɹ, ɚ ɧɟ ɩɪɨɰɟɞɭɪ ɩɨɜɬɨɪɧɨɣ ɨɛɪɚɛɨɬɤɢ.

x ɋɥɟɞɭɟɬ ɢɡɛɟɝɚɬɶ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɠɟɫɬɤɨɣ ɜɨɞɵ. Ⱦɥɹ

ɉɨɞɝɨɬɨɜɤɚ ɩɟɪɟɞ ɨɱɢɫɬɤɨɣ:

x ɂɧɫɬɪɭɦɟɧɬɵ, ɫɨɫɬɨɹɳɢɟ ɢɡ ɦɧɨɝɢɯ ɤɨɦɩɨɧɟɧɬɨɜ, ɞɨɥɠɧɵ ɛɵɬɶ

ɪɚɡɨɛɪɚɧɵ ɞɥɹ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɣ ɨɱɢɫɬɤɢ. ɉɪɨɰɟɞɭɪɚ ɪɚɡɛɨɪɤɢ, ɤɨɝɞɚ ɨɧɚ ɧɟɨɛɯɨɞɢɦɚ, ɹɜɥɹɟɬɫɹ ɫɚɦɨɨɱɟɜɢɞɧɨɣ (ɫɦ. ɤɨɞɵ ɤɚɬɟɝɨɪɢɢ ɨɛɪɚɛɨɬɤɢ ɢ ɬɚɛɥɢɰɭ 3). ɇɟɨɛɯɨɞɢɦɨ ɩɪɨɹɜɢɬɶ ɨɫɬɨɪɨɠɧɨɫɬɶ, ɱɬɨɛɵ ɧɟ ɩɨɬɟɪɹɬɶ ɦɟɥɤɢɟ ɜɢɧɬɵ ɢ ɤɨɦɩɨɧɟɧɬɵ.

x ȼɫɟ ɱɢɫɬɹɳɢɟ ɚɝɟɧɬɵ ɞɨɥɠɧɵ ɛɵɬɶ ɩɨɞɝɨɬɨɜɥɟɧɵ ɫ ɪɚɡɛɚɜɥɟɧɢɟɦ ɢ

ɬɟɦɩɟɪɚɬɭɪɨɣ, ɪɟɤɨɦɟɧɞɨɜɚɧɧɵɦɢ ɞɥɹ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɩɪɨɢɡɜɨɞɢɬɟɥɟɦ. ɍɦɹɝɱɟɧɧɚɹ ɜɨɞɨɩɪɨɜɨɞɧɚɹ ɜɨɞɚ ɦɨɠɟɬ ɛɵɬɶ ɢɫɩɨɥɶɡɨɜɚɧɚ ɞɥɹ ɩɪɢɝɨɬɨɜɥɟɧɢɹ ɱɢɫɬɹɳɢɯ ɫɪɟɞɫɬɜ. ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɪɟɤɨɦɟɧɞɨɜɚɧɧɵɯ ɬɟɦɩɟɪɚɬɭɪ ɜɚɠɧɨ ɞɥɹ ɨɩɬɢɦɚɥɶɧɨɣ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɞɟɣɫɬɜɢɹ ɱɢɫɬɹɳɢɯ ɫɪɟɞɫɬɜ.

ɉɊɂɆȿɑȺɇɂȿ: x

ɋɜɟɠɢɟ ɱɢɫɬɹɳɢɟ ɪɚɫɬɜɨɪɵ ɞɨɥɠɧɵ ɛɵɬɶ ɩɪɢɝɨɬɨɜɥɟɧɵ, ɤɨɝɞɚ ɫɭɳɟɫɬɜɭɸɳɢɟ ɪɚɫɬɜɨɪɵ ɫɬɚɧɨɜɹɬɫɹ ɫɢɥɶɧɨ ɡɚɝɪɹɡɧɟɧɧɵɦɢ (ɤɪɨɜɶɸ ɢɥɢ ɦɭɬɧɵɟ).

x

ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɭɥɶɬɪɚɡɜɭɤɨɜɨɝɨ ɚɩɩɚɪɚɬɚ ɧɚ ɱɚɫɬɨɬɟ 45–50 ɤȽɰ ɩɨɦɨɠɟɬ ɩɨɥɧɨɫɬɶɸ ɨɱɢɫɬɢɬɶ ɭɫɬɪɨɣɫɬɜɚ. ɂɫɩɨɥɶɡɨɜɚɧɢɟ ɲɩɪɢɰɚ ɢɥɢ ɫɬɪɭɢ ɜɨɞɵ ɩɨɦɨɠɟɬ ɩɪɨɦɵɬɶ ɬɪɭɞɧɨɞɨɫɬɭɩɧɵɟ ɡɨɧɵ ɢɥɢ ɛɥɢɡɤɨ ɩɪɢɥɟɝɚɸɳɢɟ ɩɨɜɟɪɯɧɨɫɬɢ.

x

ȿɫɥɢ ɢɧɫɬɪɭɦɟɧɬɵ, ɢɡɝɨɬɨɜɥɟɧɧɵɟ ɢɡ ɧɟɪɠɚɜɟɸɳɟɣ ɫɬɚɥɢ, ɩɨɤɪɵɜɚɸɬɫɹ ɩɹɬɧɚɦɢ ɢɥɢ ɪɠɚɜɟɸɬ, ɞɥɹ ɭɞɚɥɟɧɢɹ ɩɨɜɟɪɯɧɨɫɬɧɵɯ ɨɬɥɨɠɟɧɢɣ ɛɵɜɚɟɬ ɞɨɫɬɚɬɨɱɧɨ ɢɫɩɨɥɶɡɨɜɚɬɶ ɤɢɫɥɨɬɧɵɟ, ɩɪɨɬɢɜɨɤɨɪɪɨɡɢɨɧɧɵɟ ɫɪɟɞɫɬɜɚ ɜ ɭɥɶɬɪɚɡɜɭɤɨɜɨɦ ɨɱɢɫɬɢɬɟɥɟ. ɋɥɟɞɭɟɬ ɬɳɚɬɟɥɶɧɨ ɨɬɦɵɬɶ ɭɫɬɪɨɣɫɬɜɚ ɨɬ ɤɢɫɥɨɬɵ. Ʉɢɫɥɨɬɧɵɟ ɩɪɨɬɢɜɨɤɨɪɪɨɡɢɨɧɧɵɟ ɫɪɟɞɫɬɜɚ ɞɨɥɠɧɵ ɢɫɩɨɥɶɡɨɜɚɬɶɫɹ ɬɨɥɶɤɨ ɩɪɢ ɧɟɨɛɯɨɞɢɦɨɫɬɢ.

ɉɪɨɰɟɞɭɪɚ ɪɭɱɧɨɣ ɨɱɢɫɬɤɢ/ɞɟɡɢɧɮɟɤɰɢɢ: Ɍɚɛɥɢɰɚ 1: ɗɬɚɩɵ ɪɭɱɧɨɣ ɨɱɢɫɬɤɢ/ɞɟɡɢɧɮɟɤɰɢɢ ɗɬɚɩ 1 ɗɬɚɩ 2 ɗɬɚɩ 3

ɩɟɪɜɢɱɧɨɣ ɩɪɨɦɵɜɤɢ ɦɨɠɟɬ ɛɵɬɶ ɢɫɩɨɥɶɡɨɜɚɧɚ ɭɦɹɝɱɟɧɧɚɹ ɜɨɞɨɩɪɨɜɨɞɧɚɹ ɜɨɞɚ. Ⱦɥɹ ɨɤɨɧɱɚɬɟɥɶɧɨɣ ɩɪɨɦɵɜɤɢ ɧɟɨɛɯɨɞɢɦɨ ɢɫɩɨɥɶɡɨɜɚɬɶ ɨɱɢɳɟɧɧɭɸ ɜɨɞɭ, ɱɬɨɛɵ ɢɡɛɟɠɚɬɶ ɨɛɪɚɡɨɜɚɧɢɹ ɦɢɧɟɪɚɥɶɧɵɯ ɨɫɚɞɤɨɜ ɧɚ ɢɧɫɬɪɭɦɟɧɬɚɯ. Ⱦɥɹ ɨɱɢɫɬɤɢ ɜɨɞɵ ɦɨɠɧɨ ɢɫɩɨɥɶɡɨɜɚɬɶ ɨɞɢɧ ɢɥɢ ɛɨɥɟɟ ɢɡ ɫɥɟɞɭɸɳɢɯ ɩɪɨɰɟɫɫɨɜ: ɭɥɶɬɪɚɮɢɥɶɬɪɚɰɢɹ, ɨɛɪɚɬɧɵɣ ɨɫɦɨɫ, ɞɟɢɨɧɢɡɚɰɢɹ ɢɥɢ ɷɤɜɢɜɚɥɟɧɬɧɵɟ. x ɗɬɢɥɟɧɨɤɫɢɞ, ɝɚɡɨɪɚɡɪɹɞɧɚɹ ɩɥɚɡɦɚ, ɩɚɪɵ ɩɟɪɟɤɢɫɢ ɜɨɞɨɪɨɞɚ ɢ ɦɟɬɨɞɵ ɫɭɯɨɣ ɬɟɪɦɨɫɬɟɪɢɥɢɡɚɰɢɢ ɧɟ ɪɟɤɨɦɟɧɞɭɸɬɫɹ ɞɥɹ ɫɬɟɪɢɥɢɡɚɰɢɢ ɢɧɫɬɪɭɦɟɧɬɨɜ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɩɨɥɶɡɨɜɚɧɢɹ ɤɨɦɩɚɧɢɢ Medtronic. Ⱦɥɹ ɫɬɟɪɢɥɢɡɚɰɢɢ ɢɧɫɬɪɭɦɟɧɬɨɜ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɩɨɥɶɡɨɜɚɧɢɹ ɤɨɦɩɚɧɢɢ Medtronic ɪɟɤɨɦɟɧɞɭɟɬɫɹ ɦɟɬɨɞ ɫɬɟɪɢɥɢɡɚɰɢɢ ɩɚɪɨɦ (ɜɥɚɠɧɵɣ ɠɚɪ).

ɗɬɚɩ 4

ɂɧɫɬɪɭɤɰɢɢ: ɉɨɞɝɨɬɨɜɤɚ ɧɚ ɦɟɫɬɟ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɩɟɪɟɞ ɨɛɪɚɛɨɬɤɨɣ

ɗɬɚɩ 8

x ɍɞɚɥɢɬɟ ɫ ɢɧɫɬɪɭɦɟɧɬɨɜ ɢɡɛɵɬɨɤ ɛɢɨɥɨɝɢɱɟɫɤɨɣ ɠɢɞɤɨɫɬɢ ɢ

ɬɤɚɧɟɣ ɩɪɢ ɩɨɦɨɳɢ ɨɞɧɨɪɚɡɨɜɨɣ ɧɟɥɢɧɹɸɳɟɣ ɫɚɥɮɟɬɤɢ. ɉɨɦɟɫɬɢɬɟ ɭɫɬɪɨɣɫɬɜɚ ɜ ɥɨɬɨɤ ɫ ɞɢɫɬɢɥɥɢɪɨɜɚɧɧɨɣ ɜɨɞɨɣ ɢɥɢ ɧɚɤɪɨɣɬɟ ɜɥɚɠɧɵɦɢ ɩɨɥɨɬɟɧɰɚɦɢ.

ɗɬɚɩ 5

ɗɬɚɩ 6

ɗɬɚɩ 7

Ɉɩɨɥɨɫɧɢɬɟ/ɩɪɨɦɨɣɬɟ ɭɫɬɪɨɣɫɬɜɨ ɢ ɜɧɭɬɪɟɧɧɢɟ ɤɨɦɩɨɧɟɧɬɵ ɮɟɪɦɟɧɬɚɬɢɜɧɵɦ ɪɚɫɬɜɨɪɨɦ, ɩɪɢɜɟɞɹ ɭɫɬɪɨɣɫɬɜɨ ɜ ɞɟɣɫɬɜɢɟ (ɟɫɥɢ ɩɪɢɦɟɧɢɦɨ). ɉɪɨɬɢɪɚɣɬɟ ɭɫɬɪɨɣɫɬɜɨ ɳɟɬɤɨɣ ɫ ɦɹɝɤɨɣ ɳɟɬɢɧɨɣ, ɩɨɤɚ ɨɧɨ ɧɟ ɛɭɞɟɬ ɱɢɫɬɵɦ ɧɚ ɜɢɞ. ɉɨɝɪɭɡɢɬɟ ɜ ɮɟɪɦɟɧɬɚɬɢɜɧɵɣ ɪɚɫɬɜɨɪ ɫ ɨɛɪɚɛɨɬɤɨɣ ɭɥɶɬɪɚɡɜɭɤɨɦ ɜ ɬɟɱɟɧɢɟ 30 ɦɢɧɭɬ ɧɚ ɱɚɫɬɨɬɟ 40-50 ɤȽɰ. ȼɫɬɪɹɯɢɜɚɣɬɟ ɭɫɬɪɨɣɫɬɜɨ ɜ ɬɟɱɟɧɢɟ 30 ɦɢɧɭɬ ɧɚ ɦɟɯɚɧɢɱɟɫɤɨɦ ɜɫɬɪɹɯɢɜɚɬɟɥɟ ɩɪɢ 250 ɤɨɥɟɛɚɧɢɹɯ ɜ ɦɢɧɭɬɭ. Ɍɳɚɬɟɥɶɧɨ ɢ ɢɧɬɟɧɫɢɜɧɨ ɩɪɨɦɨɣɬɟ ɩɨɥɨɫɬɢ, ɨɬɜɟɪɫɬɢɹ ɢ ɞɪɭɝɢɟ ɬɪɭɞɧɨ ɞɨɫɬɭɩɧɵɟ ɦɟɫɬɚ ɫɜɟɠɢɦ ɮɟɪɦɟɧɬɚɬɢɜɧɵɦ ɪɚɫɬɜɨɪɨɦ, ɩɪɢɜɟɞɹ ɭɫɬɪɨɣɫɬɜɨ ɜ ɞɟɣɫɬɜɢɟ (ɟɫɥɢ ɩɪɢɦɟɧɢɦɨ). ɉɪɨɦɵɜɚɣɬɟ ɢɧɫɬɪɭɦɟɧɬ ɨɱɢɳɟɧɧɨɣ ɜɨɞɨɣ ɜ ɬɟɱɟɧɢɟ ɧɟ ɦɟɧɟɟ 3 ɦɢɧɭɬ ɢɥɢ ɞɨ ɬɟɯ ɩɨɪ, ɩɨɤɚ ɧɟ ɨɫɬɚɧɟɬɫɹ ɧɢɤɚɤɢɯ ɫɥɟɞɨɜ ɤɪɨɜɢ ɢɥɢ ɩɹɬɟɧ ɧɚ ɭɫɬɪɨɣɫɬɜɟ ɢɥɢ ɜ ɩɪɨɦɵɜɨɱɧɨɦ ɩɨɬɨɤɟ. Ɍɳɚɬɟɥɶɧɨ ɢ ɢɧɬɟɧɫɢɜɧɨ ɩɪɨɦɨɣɬɟ ɩɨɥɨɫɬɢ, ɨɬɜɟɪɫɬɢɹ ɢ ɞɪɭɝɢɟ ɬɪɭɞɧɨ ɞɨɫɬɭɩɧɵɟ ɦɟɫɬɚ. ɉɨɦɟɫɬɢɬɟ ɩɪɢɝɨɬɨɜɥɟɧɧɵɟ ɱɢɫɬɹɳɢɟ ɫɪɟɞɫɬɜɚ ɜ ɭɥɶɬɪɚɡɜɭɤɨɜɨɟ ɭɫɬɪɨɣɫɬɜɨ. ɉɨɥɧɨɫɬɶɸ ɩɨɝɪɭɡɢɬɟ ɢɧɫɬɪɭɦɟɧɬ ɜ ɯɢɦɢɱɟɫɤɢɣ ɪɚɫɬɜɨɪ ɢ ɩɨɞɜɟɪɝɚɣɬɟ ɜɨɡɞɟɣɫɬɜɢɸ ɭɥɶɬɪɚɡɜɭɤɚ ɜ ɬɟɱɟɧɢɟ 30 ɦɢɧɭɬ ɧɚ ɱɚɫɬɨɬɟ 45-50 ɤȽɰ. Ɍɳɚɬɟɥɶɧɨ ɢ ɢɧɬɟɧɫɢɜɧɨ ɩɪɨɦɨɣɬɟ ɩɨɥɨɫɬɢ, ɨɬɜɟɪɫɬɢɹ ɢ ɞɪɭɝɢɟ ɬɪɭɞɧɨ ɞɨɫɬɭɩɧɵɟ ɦɟɫɬɚ ɩɪɢɝɨɬɨɜɥɟɧɧɵɦ ɱɢɫɬɹɳɢɦ ɫɪɟɞɫɬɜɨɦ, ɩɪɢɜɟɞɹ ɭɫɬɪɨɣɫɬɜɨ ɜ ɞɟɣɫɬɜɢɟ (ɟɫɥɢ ɩɪɢɦɟɧɢɦɨ).

ɗɬɚɩ 9

ɉɨɜɬɨɪɢɬɟ ɩɪɨɦɵɜɤɭ (ɷɬɚɩ 6).

ɗɬɚɩ 10

ɍɞɚɥɢɬɟ ɢɡɛɵɬɨɤ ɜɥɚɝɢ ɫ ɢɧɫɬɪɭɦɟɧɬɚ ɩɪɢ ɩɨɦɨɳɢ ɱɢɫɬɨɣ ɚɛɫɨɪɛɢɪɭɸɳɟɣ ɧɟɥɢɧɹɸɳɟɣ ɫɚɥɮɟɬɤɢ.

Cтранице 45

РУССКИЙ

Ʉɨɦɛɢɧɢɪɨɜɚɧɧɚɹ ɩɪɨɰɟɞɭɪɚ ɪɭɱɧɨɣ ɢ ɚɜɬɨɦɚɬɢɱɟɫɤɨɣ ɨɱɢɫɬɤɢ ɢ ɞɟɡɢɧɮɟɤɰɢɢ:

Ʉɨɞɵ ɤɚɬɟɝɨɪɢɣ ɨɛɪɚɛɨɬɤɢ:

Ʉɨɞɵ ɨɛɪɚɛɨɬɤɢ, ɩɟɪɟɱɢɫɥɟɧɧɵɟ ɜ ɬɚɛɥɢɰɟ 3, ɜɵɝɪɚɜɢɪɨɜɚɧɵ ɧɚ ɧɟɤɨɬɨɪɵɯ ɢɧɫɬɪɭɦɟɧɬɚɯ ɢ ɞɚɸɬ ɢɧɮɨɪɦɚɰɢɸ, ɩɨɥɟɡɧɭɸ ɩɪɢ ɜɵɛɨɪɟ ɱɢɫɬɹɳɢɯ ɫɪɟɞɫɬɜ ɫ ɫɨɨɬɜɟɬɫɬɜɭɸɳɢɦ ɪɇ. Ʉɨɦɩɚɧɢɹ Medtronic ɪɟɤɨɦɟɧɞɭɟɬ, ɱɬɨɛɵ ɜɫɟ ɭɫɬɪɨɣɫɬɜɚ (ɜɧɟ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɝɪɚɜɢɪɨɜɤɢ) ɨɛɪɚɛɚɬɵɜɚɥɢɫɶ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ɪɭɱɧɨɣ ɢɥɢ ɤɨɦɛɢɧɢɪɨɜɚɧɧɨɣ ɪɭɱɧɨɣ ɢ ɚɜɬɨɦɚɬɢɡɢɪɨɜɚɧɧɨɣ ɩɪɨɰɟɞɭɪɚɦɢ ɨɱɢɫɬɤɢ ɢ ɞɟɡɢɧɮɟɤɰɢɢ, ɫɨɞɟɪɠɚɳɢɦɢɫɹ ɜ ɞɚɧɧɨɦ ɪɭɤɨɜɨɞɫɬɜɟ.

Ɍɚɛɥɢɰɚ 2: ɗɬɚɩɵ ɤɨɦɛɢɧɢɪɨɜɚɧɧɨɣ ɩɪɨɰɟɞɭɪɵ ɪɭɱɧɨɣ ɢ ɚɜɬɨɦɚɬɢɱɟɫɤɨɣ ɨɱɢɫɬɤɢ ɢ ɞɟɡɢɧɮɟɤɰɢɢ

ɗɬɚɩ 1

ɗɬɚɩ 2

ɗɬɚɩ 3

ɗɬɚɩ 4 ɗɬɚɩ 5 ɗɬɚɩ 6

x x

x x x

ɂɫɩɨɥɶɡɭɣɬɟ ɳɟɬɤɭ ɫ ɦɹɝɤɨɣ ɧɟɣɥɨɧɨɜɨɣ ɳɟɬɢɧɨɣ ɞɥɹ ɨɫɬɨɪɨɠɧɨɝɨ ɭɞɚɥɟɧɢɹ ɜɫɟɯ ɜɢɞɢɦɵɯ ɡɚɝɪɹɡɧɟɧɢɣ ɫ ɭɫɬɪɨɣɫɬɜɚ. Ɉɫɨɛɨɟ ɜɧɢɦɚɧɢɟ ɞɨɥɠɧɨ ɛɵɬɶ ɭɞɟɥɟɧɨ ɳɟɥɹɦ, ɩɨɥɨɫɬɹɦ, ɫɨɩɪɢɤɚɫɚɸɳɢɦɫɹ ɩɨɜɟɪɯɧɨɫɬɹɦ, ɫɨɟɞɢɧɢɬɟɥɹɦ ɢ ɞɪɭɝɢɦ ɦɟɫɬɚɦ, ɬɪɭɞɧɵɦ ɞɥɹ ɨɱɢɫɬɤɢ. ɉɨɥɨɫɬɢ ɧɭɠɧɨ ɱɢɫɬɢɬɶ ɞɥɢɧɧɨɣ ɭɡɤɨɣ ɳɟɬɤɨɣ ɫ ɦɹɝɤɨɣ ɧɟɣɥɨɧɨɜɨɣ ɳɟɬɢɧɨɣ. Ɉɩɨɥɨɫɧɢɬɟ/ɩɪɨɦɨɣɬɟ ɭɫɬɪɨɣɫɬɜɨ ɢ ɜɧɭɬɪɟɧɧɢɟ ɤɨɦɩɨɧɟɧɬɵ ɮɟɪɦɟɧɬɚɬɢɜɧɵɦ ɪɚɫɬɜɨɪɨɦ. ɉɨɦɟɫɬɢɬɟ ɩɨɞɝɨɬɨɜɥɟɧɧɵɟ ɱɢɫɬɹɳɢɟ ɫɪɟɞɫɬɜɚ ɜ ɭɥɶɬɪɚɡɜɭɤɨɜɨɟ ɭɫɬɪɨɣɫɬɜɨ. ɉɨɥɧɨɫɬɶɸ ɩɨɝɪɭɡɢɬɟ ɢɧɫɬɪɭɦɟɧɬ ɜ ɮɟɪɦɟɧɬɚɬɢɜɧɵɣ ɪɚɫɬɜɨɪ ɢ ɩɨɞɜɟɪɝɚɣɬɟ ɜɨɡɞɟɣɫɬɜɢɸ ɭɥɶɬɪɚɡɜɭɤɚ ɜ ɬɟɱɟɧɢɟ 15 ɦɢɧɭɬ ɧɚ ɱɚɫɬɨɬɟ 45-50 ɤȽɰ. ȼɵɧɶɬɟ ɭɫɬɪɨɣɫɬɜɚ ɢɡ ɮɟɪɦɟɧɬɚɬɢɜɧɨɝɨ ɪɚɫɬɜɨɪɚ ɢ ɩɪɨɦɵɜɚɣɬɟ ɨɱɢɳɟɧɧɨɣ ɜɨɞɨɣ ɧɟ ɦɟɧɟɟ 1 ɦɢɧɭɬɵ. Ɍɳɚɬɟɥɶɧɨ ɢ ɢɧɬɟɧɫɢɜɧɨ ɩɪɨɦɨɣɬɟ ɩɨɥɨɫɬɢ, ɨɬɜɟɪɫɬɢɹ ɢ ɞɪɭɝɢɟ ɬɪɭɞɧɨ ɞɨɫɬɭɩɧɵɟ ɦɟɫɬɚ. ɉɨɦɟɫɬɢɬɟ ɢɧɫɬɪɭɦɟɧɬɵ ɜ ɫɨɨɬɜɟɬɫɬɜɭɸɳɭɸ ɤɨɪɡɢɧɭ ɦɨɸɳɟɣ/ɞɟɡɢɧɮɢɰɢɪɭɸɳɟɣ ɦɚɲɢɧɵ. ɍɫɬɚɧɨɜɢɬɟ ɜ ɦɨɸɳɟɣ/ɞɟɡɢɧɮɢɰɢɪɭɸɳɟɣ ɦɚɲɢɧɟ ɪɚɛɨɱɢɟ ɩɚɪɚɦɟɬɪɵ, ɩɟɪɟɱɢɫɥɟɧɧɵɟ ɜ ɷɬɚɩɚɯ 5-13. ɉɪɟɞɜɚɪɢɬɟɥɶɧɚɹ ɩɪɨɦɵɜɤɚ (X2): ɯɨɥɨɞɧɚɹ ɭɦɹɝɱɟɧɧɚɹ ɜɨɞɨɩɪɨɜɨɞɧɚɹ ɜɨɞɚ: 4 ɦɢɧɭɬɵ Ɏɟɪɦɟɧɬɚɬɢɜɧɨɟ ɪɚɫɩɵɥɟɧɢɟ, ɝɨɪɹɱɚɹ ɭɦɹɝɱɟɧɧɚɹ ɜɨɞɨɩɪɨɜɨɞɧɚɹ ɜɨɞɚ: 20 ɫɟɤɭɧɞ

ɗɬɚɩ 7

ȼɵɞɟɪɠɢɜɚɧɢɟ ɜ ɮɟɪɦɟɧɬɚɬɢɜɧɨɦ ɪɚɫɬɜɨɪɟ: 4 ɦɢɧɭɬɵ

ɗɬɚɩ 8

Ɉɩɨɥɚɫɤɢɜɚɧɢɟ (X2): ɯɨɥɨɞɧɚɹ ɭɦɹɝɱɟɧɧɚɹ ɜɨɞɨɩɪɨɜɨɞɧɚɹ ɜɨɞɚ: 15 ɫɟɤɭɧɞ

ɗɬɚɩ 9

Ɇɨɣɤɚ ɞɟɬɟɪɝɟɧɬɨɦ: ɝɨɪɹɱɚɹ ɭɦɹɝɱɟɧɧɚɹ ɜɨɞɨɩɪɨɜɨɞɧɚɹ ɜɨɞɚ: (66-68°C/150-154°F): 4 ɦɢɧɭɬɵ

ɗɬɚɩ 10

Ɉɩɨɥɚɫɤɢɜɚɧɢɟ (X2): ɝɨɪɹɱɚɹ ɭɦɹɝɱɟɧɧɚɹ ɜɨɞɨɩɪɨɜɨɞɧɚɹ ɜɨɞɚ: 4 ɦɢɧɭɬɵ

ɗɬɚɩ 11

Ƚɨɪɹɱɟɟ ɨɩɨɥɚɫɤɢɜɚɧɢɟ: ɝɨɪɹɱɚɹ ɭɦɹɝɱɟɧɧɚɹ ɜɨɞɨɩɪɨɜɨɞɧɚɹ ɜɨɞɚ: (83-92°C/181-198°F): 5 ɦɢɧɭɬ

ɗɬɚɩ 12

Ɉɩɨɥɚɫɤɢɜɚɧɢɟ ɨɱɢɳɟɧɧɨɣ ɜɨɞɨɣ: (83-92°C/181-198°F). 10 ɫɟɤɭɧɞ

ɗɬɚɩ 13

ɋɭɲɤɚ ɝɨɪɹɱɢɦ ɜɨɡɞɭɯɨɦ: (75°C/ 167°F): 15-30 ɦɢɧɭɬ

Ɉɫɦɨɬɪ, ɬɟɫɬɢɪɨɜɚɧɢɟ, ɬɟɯɧɢɱɟɫɤɨɟ ɨɛɫɥɭɠɢɜɚɧɢɟ ɢ ɫɦɚɡɤɚ: Ɍɳɚɬɟɥɶɧɨ ɨɫɦɨɬɪɢɬɟ ɤɚɠɞɨɟ ɭɫɬɪɨɣɫɬɜɨ, ɱɬɨɛɵ ɭɛɟɞɢɬɶɫɹ, ɱɬɨ ɜɫɟ ɜɢɞɢɦɵɟ ɡɚɝɪɹɡɧɟɧɢɹ ɛɵɥɢ ɭɞɚɥɟɧɵ. ȿɫɥɢ ɡɚɝɪɹɡɧɟɧɢɹ ɨɫɬɚɥɢɫɶ, ɩɨɜɬɨɪɢɬɟ ɩɪɨɰɟɞɭɪɭ ɱɢɫɬɤɢ/ɞɟɡɢɧɮɟɤɰɢɢ. ɉɪɨɜɟɪɶɬɟ ɞɟɣɫɬɜɢɟ ɩɨɞɜɢɠɧɵɯ ɱɚɫɬɟɣ (ɧɚɩɪɢɦɟɪ, ɲɚɪɧɢɪɨɜ, ɡɚɦɤɨɜ ɹɳɢɤɨɜ, ɫɨɟɞɢɧɢɬɟɥɟɣ ɢ ɫɤɨɥɶɡɹɳɢɯ ɞɟɬɚɥɟɣ), ɱɬɨɛɵ ɨɛɟɫɩɟɱɢɬɶ ɛɟɫɩɟɪɟɛɨɣɧɭɸ ɪɚɛɨɬɭ ɜ ɩɪɟɞɧɚɡɧɚɱɟɧɧɨɦ ɞɢɚɩɚɡɨɧɟ ɞɜɢɠɟɧɢɹ. ɉɪɨɜɟɪɶɬɟ ɢɧɫɬɪɭɦɟɧɬɵ ɫ ɞɥɢɧɧɵɦɢ ɬɨɧɤɢɦɢ ɞɟɬɚɥɹɦɢ (ɨɫɨɛɟɧɧɨ ɜɪɚɳɚɸɳɢɟɫɹ ɩɪɢɛɨɪɵ) ɧɚ ɧɚɥɢɱɢɟ ɞɟɮɨɪɦɚɰɢɣ. ȿɫɥɢ ɢɧɫɬɪɭɦɟɧɬɵ ɹɜɥɹɸɬɫɹ ɱɚɫɬɶɸ ɛɨɥɟɟ ɤɪɭɩɧɨɝɨ ɛɥɨɤɚ, ɩɪɨɜɟɪɶɬɟ, ɱɬɨ ɭɫɬɪɨɣɫɬɜɚ ɥɟɝɤɨ ɦɨɧɬɢɪɭɸɬɫɹ ɫ ɫɨɫɟɞɧɢɦɢ ɤɨɦɩɨɧɟɧɬɚɦɢ. ɒɚɪɧɢɪɧɵɟ, ɜɪɚɳɚɸɳɢɟɫɹ ɢɥɢ ɲɚɪɧɢɪɧɨ-ɫɨɱɥɟɧɟɧɧɵɟ ɢɧɫɬɪɭɦɟɧɬɵ ɞɨɥɠɧɵ ɛɵɬɶ ɫɦɚɡɚɧɵ ɪɚɫɬɜɨɪɢɦɵɦ ɜ ɜɨɞɟ ɫɪɟɞɫɬɜɟ (ɧɚɩɪɢɦɟɪ, ɫɦɚɡɨɱɧɵɦ ɫɪɟɞɫɬɜɨɦ ɞɥɹ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɢɧɫɬɪɭɦɟɧɬɨɜ ɢɥɢ ɷɤɜɢɜɚɥɟɧɬɧɵɦ ɫɦɚɡɨɱɧɵɦ ɫɪɟɞɫɬɜɨɦ), ɩɪɟɞɧɚɡɧɚɱɟɧɧɵɦ ɞɥɹ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɢɧɫɬɪɭɦɟɧɬɨɜ, ɤɨɬɨɪɵɟ ɧɟɨɛɯɨɞɢɦɨ ɫɬɟɪɢɥɢɡɨɜɚɬɶ. ɇɟɤɨɬɨɪɵɟ ɫɦɚɡɨɱɧɵɟ ɫɪɟɞɫɬɜɚ ɧɚ ɜɨɞɧɨɣ ɨɫɧɨɜɟ ɞɥɹ ɢɧɫɬɪɭɦɟɧɬɨɜ ɫɨɞɟɪɠɚɬ ɰɟɥɟɛɧɵɟ ɛɚɤɬɟɪɢɨɫɬɚɬɢɱɟɫɤɢɟ ɚɝɟɧɬɵ. ɋɥɟɞɭɟɬ ɫɨɛɥɸɞɚɬɶ ɫɪɨɤɢ ɝɨɞɧɨɫɬɢ, ɪɟɤɨɦɟɧɞɨɜɚɧɧɵɟ ɩɪɨɢɡɜɨɞɢɬɟɥɟɦ, ɤɚɤ ɞɥɹ ɤɨɧɰɟɧɬɪɢɪɨɜɚɧɧɵɯ, ɬɚɤ ɢ ɞɥɹ ɪɚɡɛɚɜɥɟɧɧɵɯ ɪɚɫɬɜɨɪɨɜ.

04/2010

0381424 Rev C

Ʉɪɚɬɤɨɟ ɫɩɪɚɜɨɱɧɨɟ ɪɭɤɨɜɨɞɫɬɜɨ

Ɍɚɛɥɢɰɚ 3: Ʉɨɞɵ ɤɚɬɟɝɨɪɢɢ ɨɛɪɚɛɨɬɤɢ

ɋɬɚɥɶɧɵɟ/ɦɟɬɚɥɥɢɱɟɫɤɢɟ ɢɧɫɬɪɭɦɟɧɬɵ ɢɥɢ ɦɟɬɚɥɥɢɱɟɫɤɢɟ ɢɧɫɬɪɭɦɟɧɬɵ ɫ ɩɨɥɢɦɟɪɧɵɦɢ ɤɨɦɩɨɧɟɧɬɚɦɢ ɫ ɤɚɧɸɥɢɪɨɜɚɧɧɵɦɢ ɨɬɜɟɪɫɬɢɹɦɢ ɢɥɢ ɛɟɡ ɧɢɯ. ɗɬɢ ɭɫɬɪɨɣɫɬɜɚ ɭɫɬɨɣɱɢɜɵ ɤ ɜɨɡɞɟɣɫɬɜɢɸ ɧɟɣɬɪɚɥɶɧɵɯ ɱɢɫɬɹɳɢɯ ɫɪɟɞɫɬɜ ɢ ɳɟɥɨɱɧɵɯ ɱɢɫɬɹɳɢɯ ɫɪɟɞɫɬɜ ɩɪɢ ɭɫɥɨɜɢɢ ɩɨɫɥɟɞɭɸɳɟɣ ɤɢɫɥɨɬɧɨɣ ɧɟɣɬɪɚɥɢɡɚɰɢɢ ɢ ɬɳɚɬɟɥɶɧɨɣ ɩɪɨɦɵɜɤɢ. Ɍɪɟɛɭɟɬɫɹ ɪɚɡɛɨɪɤɚ. Ɍɪɭɛɤɢ ɢ ɩɨɥɨɫɬɢ ɞɨɥɠɧɵ ɱɢɫɬɢɬɶɫɹ ɜɪɭɱɧɭɸ. ɗɬɢ ɭɫɬɪɨɣɫɬɜɚ ɞɨɥɠɧɵ ɨɱɢɳɚɬɶɫɹ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɪɭɱɧɨɣ ɢɥɢ ɤɨɦɛɢɧɢɪɨɜɚɧɧɨɣ ɪɭɱɧɨɣ ɢ ɚɜɬɨɦɚɬɢɡɢɪɨɜɚɧɧɨɣ ɩɪɨɰɟɞɭɪ, ɢɡɥɨɠɟɧɧɵɯ ɜ ɞɚɧɧɨɦ ɪɭɤɨɜɨɞɫɬɜɟ. ɂɧɫɬɪɭɦɟɧɬɵ, ɢɡɝɨɬɨɜɥɟɧɧɵɟ ɢɡ ɬɢɬɚɧɨɜɵɯ ɢɥɢ ɚɥɸɦɢɧɢɟɜɵɯ ɫɩɥɚɜɨɜ ɢɥɢ ɬɪɟɛɭɸɳɢɟ ɫɛɨɪɤɢ/ɪɚɡɛɨɪɤɢ ɢɥɢ ɞɪɭɝɢɯ ɩɪɟɞɜɚɪɢɬɟɥɶɧɵɯ ɩɪɨɰɟɞɭɪ ɩɟɪɟɞ ɨɛɪɚɛɨɬɤɨɣ. ɗɬɢ ɭɫɬɪɨɣɫɬɜɚ ɞɨɥɠɧɵ ɨɱɢɳɚɬɶɫɹ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɪɭɱɧɨɣ ɢɥɢ ɤɨɦɛɢɧɢɪɨɜɚɧɧɨɣ ɪɭɱɧɨɣ ɢ ɚɜɬɨɦɚɬɢɡɢɪɨɜɚɧɧɨɣ ɩɪɨɰɟɞɭɪ, ɢɡɥɨɠɟɧɧɵɯ ɜ ɞɚɧɧɨɦ ɪɭɤɨɜɨɞɫɬɜɟ. ɗɬɢ ɭɫɬɪɨɣɫɬɜɚ ɧɟɥɶɡɹ ɩɨɞɜɟɪɝɚɬɶ ɜɨɡɞɟɣɫɬɜɢɸ ɳɟɥɨɱɧɵɯ ɱɢɫɬɹɳɢɯ ɫɪɟɞɫɬɜ.

x

x

ɋɬɟɪɢɥɶɧɵɟ ɭɩɚɤɨɜɤɢ ɍɩɚɤɨɜɤɚ ɢɧɞɢɜɢɞɭɚɥɶɧɵɯ ɢɧɫɬɪɭɦɟɧɬɨɜ: Ⱦɥɹ ɭɩɚɤɨɜɤɢ ɢɧɞɢɜɢɞɭɚɥɶɧɵɯ ɢɧɫɬɪɭɦɟɧɬɨɜ ɦɨɝɭɬ ɛɵɬɶ ɢɫɩɨɥɶɡɨɜɚɧɵ ɞɨɫɬɭɩɧɵɟ ɧɚ ɪɵɧɤɟ ɩɚɤɟɬɵ ɢɥɢ ɨɛɟɪɬɨɱɧɵɣ ɦɚɬɟɪɢɚɥ ɦɟɞɢɰɢɧɫɤɨɝɨ ɤɥɚɫɫɚ, ɫɬɟɪɢɥɢɡɭɟɦɵɣ ɩɚɪɨɦ. ɍɩɚɤɨɜɤɚ ɞɨɥɠɧɚ ɛɵɬɶ ɩɨɞɝɨɬɨɜɥɟɧɚ ɩɪɢ ɩɨɦɨɳɢ ɦɟɬɨɞɚ ɞɜɨɣɧɨɣ ɨɛɟɪɬɤɢ AAMI ɢɥɢ ɷɤɜɢɜɚɥɟɧɬɧɨɝɨ ɦɟɬɨɞɚ.

ɍɩɚɤɨɜɤɚ ɤɨɦɩɥɟɤɬɨɜ ɢɧɫɬɪɭɦɟɧɬɨɜ: ɍɩɚɤɨɜɵɜɚɬɶ ɤɨɦɩɥɟɤɬɵ ɢɧɫɬɪɭɦɟɧɬɨɜ ɜ ɠɟɫɬɤɢɯ ɥɨɬɤɚɯ ɢ ɹɳɢɤɚɯ ɫ ɤɪɵɲɤɚɦɢ ɢ ɨɩɪɟɞɟɥɟɧɧɵɦɢ ɩɪɟɞɜɚɪɢɬɟɥɶɧɨ ɫɤɨɧɮɢɝɭɪɢɪɨɜɚɧɧɵɦɢ ɤɨɦɩɨɧɨɜɤɚɦɢ.

Ɇɟɪɵ ɛɟɡɨɩɚɫɧɨɫɬɢ: x Ɉɛɳɢɣ ɜɟɫ ɭɩɚɤɨɜɚɧɧɨɝɨ ɥɨɬɤɚ ɢɥɢ ɹɳɢɤɚ ɫ ɢɧɫɬɪɭɦɟɧɬɚɦɢ ɧɟ ɞɨɥɠɟɧ ɩɪɟɜɵɲɚɬɶ 11,4 ɤɝ/25 ɮɭɧɬɨɜ ɞɥɹ ɨɛɟɫɩɟɱɟɧɢɹ ɛɟɡɨɩɚɫɧɨɫɬɢ ɩɟɪɫɨɧɚɥɚ, ɩɟɪɟɧɨɫɹɳɟɝɨ ɤɨɦɩɥɟɤɬɵ ɢɧɫɬɪɭɦɟɧɬɨɜ. əɳɢɤɢ ɞɥɹ ɢɧɫɬɪɭɦɟɧɬɨɜ, ɜɟɫ ɤɨɬɨɪɵɯ ɩɪɟɜɵɲɚɟɬ 11,4 ɤɝ/25 ɮɭɧɬɨɜ, ɞɨɥɠɧɵ ɛɵɬɶ ɪɚɡɞɟɥɟɧɵ ɧɚ ɨɬɞɟɥɶɧɵɟ ɥɨɬɤɢ ɞɥɹ ɫɬɟɪɢɥɢɡɚɰɢɢ. x Ʌɨɬɤɢ ɢ ɹɳɢɤɢ ɫ ɤɪɵɲɤɚɦɢ ɦɨɝɭɬ ɛɵɬɶ ɨɛɟɪɧɭɬɵ ɜ ɨɛɟɪɬɨɱɧɵɣ ɦɚɬɟɪɢɚɥ ɦɟɞɢɰɢɧɫɤɨɝɨ ɤɥɚɫɫɚ, ɫɬɟɪɢɥɢɡɭɟɦɵɣ ɩɚɪɨɦ, ɩɪɢ ɩɨɦɨɳɢ ɦɟɬɨɞɚ ɞɜɨɣɧɨɣ ɨɛɟɪɬɤɢ AAMI ɢɥɢ ɷɤɜɢɜɚɥɟɧɬɧɨɝɨ ɦɟɬɨɞɚ. ɉɊɂɆȿɑȺɇɂȿ: ɋɩɟɰɢɚɥɶɧɵɟ ɭɫɬɪɨɣɫɬɜɚ ɞɨɥɠɧɵ ɧɚɯɨɞɢɬɶɫɹ ɬɨɥɶɤɨ ɜ ɩɪɟɞɧɚɡɧɚɱɟɧɧɵɯ ɞɥɹ ɧɢɯ ɡɨɧɚɯ. ɗɬɢ ɭɬɜɟɪɠɞɟɧɧɵɟ ɢɧɫɬɪɭɤɰɢɢ ɩɨ ɩɨɜɬɨɪɧɨɣ ɨɛɪɚɛɨɬɤɟ ɧɟ ɩɪɢɦɟɧɢɦɵ ɞɥɹ ɥɨɬɤɨɜ Medtronic ɫ ɭɫɬɪɨɣɫɬɜɚɦɢ, ɧɟ ɩɪɨɢɡɜɨɞɢɦɵɦɢ ɢɥɢ ɧɟ ɪɚɫɩɪɨɫɬɪɚɧɹɟɦɵɦɢ ɤɨɦɩɚɧɢɟɣ Medtronic. Ʌɨɬɤɢ ɢ ɹɳɢɤɢ ɞɥɹ ɢɧɫɬɪɭɦɟɧɬɨɜ ɛɟɡ ɨɩɪɟɞɟɥɟɧɧɵɯ ɩɪɟɞɜɚɪɢɬɟɥɶɧɨ ɫɤɨɧɮɢɝɭɪɢɪɨɜɚɧɧɵɯ ɤɨɦɩɨɧɨɜɨɤ ɢɥɢ ɫɨɞɟɪɠɚɳɢɟ ɧɟɨɩɪɟɞɟɥɟɧɧɵɟ ɨɬɫɟɤɢ ɢɥɢ ɨɬɞɟɥɟɧɢɹ ɨɛɳɟɝɨ ɩɪɢɦɟɧɟɧɢɹ ɞɨɥɠɧɵ ɢɫɩɨɥɶɡɨɜɚɬɶɫɹ ɬɨɥɶɤɨ ɩɪɢ ɫɥɟɞɭɸɳɢɯ ɭɫɥɨɜɢɹɯ: x Ʉɚɠɞɨɟ ɭɫɬɪɨɣɫɬɜɨ, ɤɨɬɨɪɨɟ ɦɨɠɧɨ ɪɚɡɨɛɪɚɬɶ, ɞɨɥɠɧɨ ɛɵɬɶ ɪɚɡɨɛɪɚɧɨ ɩɟɪɟɞ ɩɨɦɟɳɟɧɢɟɦ ɜ ɹɳɢɤ.

x ȼɫɟ ɭɫɬɪɨɣɫɬɜɚ ɞɨɥɠɧɵ ɛɵɬɶ ɪɚɡɦɟɳɟɧɵ ɬɚɤɢɦ ɨɛɪɚɡɨɦ, ɱɬɨɛɵ ɨɛɟɫɩɟɱɢɬɶ ɩɪɨɧɢɤɧɨɜɟɧɢɟ ɩɚɪɚ ɧɚ ɜɫɟ ɩɨɜɟɪɯɧɨɫɬɢ ɢɧɫɬɪɭɦɟɧɬɨɜ. ɂɧɫɬɪɭɦɟɧɬɵ ɧɟ ɞɨɥɠɧɵ ɪɚɡɦɟɳɚɬɶɫɹ ɞɪɭɝ ɧɚ ɞɪɭɝɟ ɢɥɢ ɜ ɬɟɫɧɨɦ ɤɨɧɬɚɤɬɟ. x ɇɟɥɶɡɹ ɩɟɪɟɜɨɪɚɱɢɜɚɬɶ ɹɳɢɤ ɫ ɢɧɫɬɪɭɦɟɧɬɚɦɢ ɢ ɞɨɩɭɫɤɚɬɶ, ɱɬɨɛɵ ɟɝɨ ɫɨɞɟɪɠɢɦɨɟ ɫɦɟɳɚɥɨɫɶ. Ⱦɥɹ ɮɢɤɫɚɰɢɢ ɭɫɬɪɨɣɫɬɜ ɧɚ ɦɟɫɬɟ ɦɨɠɧɨ ɢɫɩɨɥɶɡɨɜɚɬɶ ɫɢɥɢɤɨɧɨɜɵɟ ɩɨɞɫɬɢɥɤɢ. x ȼ ɥɨɬɤɢ ɞɥɹ ɢɧɫɬɪɭɦɟɧɬɨɜ ɤɨɦɩɚɧɢɢ Medtronic ɦɨɠɧɨ ɩɨɦɟɳɚɬɶ ɬɨɥɶɤɨ ɭɫɬɪɨɣɫɬɜɚ, ɩɪɨɢɡɜɟɞɟɧɧɵɟ ɢɥɢ ɪɚɫɩɪɨɫɬɪɚɧɹɟɦɵɟ ɤɨɦɩɚɧɢɟɣ Medtronic. ɍɬɜɟɪɠɞɟɧɧɵɟ ɤɨɦɩɚɧɢɟɣ Medtronic ɢɧɫɬɪɭɤɰɢɢ ɩɨ ɩɨɜɬɨɪɧɨɣ ɨɛɪɚɛɨɬɤɟ ɧɟ ɩɪɢɦɟɧɢɦɵ ɤ ɥɨɬɤɚɦ ɤɨɦɩɚɧɢɢ Medtronic ɫ ɭɫɬɪɨɣɫɬɜɚɦɢ, ɧɟ ɩɪɨɢɡɜɟɞɟɧɧɵɦɢ ɢɥɢ ɧɟ ɪɚɫɩɪɨɫɬɪɚɧɹɟɦɵɦɢ ɤɨɦɩɚɧɢɟɣ Medtronic.

ɋɬɟɪɢɥɢɡɚɰɢɹ

x Ⱦɟɡɢɧɮɟɤɰɢɹ ɩɪɢɟɦɥɟɦɚ ɬɨɥɶɤɨ ɜ ɤɚɱɟɫɬɜɟ ɩɪɟɞɜɚɪɢɬɟɥɶɧɨɝɨ ɷɬɚɩɚ ɩɟɪɟɞ ɩɨɥɧɨɣ ɫɬɟɪɢɥɢɡɚɰɢɟɣ ɯɢɪɭɪɝɢɱɟɫɤɢɯ ɢɧɫɬɪɭɦɟɧɬɨɜ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɢɫɩɨɥɶɡɨɜɚɧɢɹ. ɋɦ. ɬɚɛɥɢɰɭ 4, ɫɨɞɟɪɠɚɳɭɸ ɦɢɧɢɦɚɥɶɧɵɟ ɪɟɤɨɦɟɧɞɭɟɦɵɟ ɩɚɪɚɦɟɬɪɵ ɫɬɟɪɢɥɢɡɚɰɢɢ, ɤɨɬɨɪɵɟ ɛɵɥɢ ɭɬɜɟɪɠɞɟɧɵ ɤɨɦɩɚɧɢɟɣ Medtronic ɞɥɹ ɨɛɟɫɩɟɱɟɧɢɹ ɭɪɨɜɧɹ ɝɚɪɚɧɬɢɢ ɫɬɟɪɢɥɶɧɨɫɬɢ 10-6 (SAL).

x Ȼɨɥɶɧɢɰɚ ɧɟɫɟɬ ɨɬɜɟɬɫɬɜɟɧɧɨɫɬɶ ɡɚ ɫɨɛɫɬɜɟɧɧɵɟ ɩɪɨɰɟɞɭɪɵ

ɩɨɜɬɨɪɧɨɣ ɫɛɨɪɤɢ, ɨɫɦɨɬɪɚ ɢ ɭɩɚɤɨɜɤɢ ɢɧɫɬɪɭɦɟɧɬɨɜ ɩɨɫɥɟ ɢɯ ɩɨɥɧɨɣ ɨɱɢɫɬɤɢ ɫɩɨɫɨɛɨɦ, ɤɨɬɨɪɵɣ ɝɚɪɚɧɬɢɪɭɟɬ ɩɪɨɧɢɤɧɨɜɟɧɢɟ ɩɚɪɚ ɢ ɚɞɟɤɜɚɬɧɭɸ ɫɭɲɤɭ. ɉɨɥɨɠɟɧɢɹ ɩɨ ɡɚɳɢɬɟ ɨɬ ɥɸɛɵɯ ɨɫɬɪɵɯ ɢɥɢ ɩɨɬɟɧɰɢɚɥɶɧɨ ɨɩɚɫɧɵɯ ɱɚɫɬɟɣ ɢɧɫɬɪɭɦɟɧɬɨɜ ɬɚɤɠɟ ɞɨɥɠɧɵ ɛɵɬɶ ɪɟɤɨɦɟɧɞɨɜɚɧɵ ɛɨɥɶɧɢɰɟɣ.

x ȼɥɚɠɧɚɹ ɬɟɪɦɢɱɟɫɤɚɹ/ɩɚɪɨɜɚɹ ɫɬɟɪɢɥɢɡɚɰɢɹ ɹɜɥɹɟɬɫɹ

ɩɪɟɞɩɨɱɬɢɬɟɥɶɧɵɦ ɢ ɪɟɤɨɦɟɧɞɭɟɦɵɦ ɦɟɬɨɞɨɦ ɞɥɹ ɤɨɦɩɥɟɤɬɨɜ ɫɩɢɧɚɥɶɧɵɯ ɢ ɛɢɨɥɨɝɢɱɟɫɤɢɯ ɢɧɫɬɪɭɦɟɧɬɨɜ ɤɨɦɩɚɧɢɢ Medtronic.

x ȼɫɟɝɞɚ ɧɟɨɛɯɨɞɢɦɨ ɫɥɟɞɨɜɚɬɶ ɪɟɤɨɦɟɧɞɚɰɢɹɦ ɩɪɨɢɡɜɨɞɢɬɟɥɹ

ɫɬɟɪɢɥɢɡɭɸɳɟɝɨ ɨɛɨɪɭɞɨɜɚɧɢɹ. ɋɬɟɪɢɥɢɡɚɰɢɹ ɧɟɫɤɨɥɶɤɢɯ ɤɨɦɩɥɟɤɬɨɜ ɢɧɫɬɪɭɦɟɧɬɨɜ ɜ ɨɞɧɨɦ ɰɢɤɥɟ ɫɬɟɪɢɥɢɡɚɰɢɢ. ɇɟ ɩɪɟɜɵɲɚɣɬɟ ɦɚɤɫɢɦɚɥɶɧɭɸ ɡɚɝɪɭɡɤɭ ɫɬɟɪɢɥɢɡɭɸɳɟɝɨ ɨɛɨɪɭɞɨɜɚɧɢɹ, ɭɤɚɡɚɧɧɭɸ ɩɪɨɢɡɜɨɞɢɬɟɥɟɦ.

x Ʉɨɦɩɥɟɤɬɵ ɢɧɫɬɪɭɦɟɧɬɨɜ ɞɨɥɠɧɵ ɛɵɬɶ ɩɪɚɜɢɥɶɧɨ ɩɨɞɝɨɬɨɜɥɟɧɵ ɢ ɭɩɚɤɨɜɚɧɵ ɜ ɥɨɬɤɢ ɢɥɢ ɹɳɢɤɢ, ɱɬɨ ɩɨɡɜɨɥɢɬ ɩɚɪɭ ɩɪɨɧɢɤɧɭɬɶ ɢ ɧɟɩɨɫɪɟɞɫɬɜɟɧɧɨ ɤɨɧɬɚɤɬɢɪɨɜɚɬɶ ɫɨ ɜɫɟɦɢ ɩɨɜɟɪɯɧɨɫɬɹɦɢ.

x ɗɬɢɥɟɧɨɤɫɢɞ, ɝɚɡɨɪɚɡɪɹɞɧɚɹ ɩɥɚɡɦɚ, ɩɚɪɵ ɩɟɪɟɤɢɫɢ ɜɨɞɨɪɨɞɚ ɢ

ɦɟɬɨɞɵ ɫɭɯɨɣ ɬɟɪɦɨɫɬɟɪɢɥɢɡɚɰɢɢ ɧɟ ɞɨɥɠɧɵ ɢɫɩɨɥɶɡɨɜɚɬɶɫɹ ɩɪɢ ɫɬɟɪɢɥɢɡɚɰɢɢ ɢɧɫɬɪɭɦɟɧɬɨɜ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɩɨɥɶɡɨɜɚɧɢɹ ɤɨɦɩɚɧɢɢ Medtronic, ɟɫɥɢ ɬɨɥɶɤɨ ɢɧɮɨɪɦɚɰɢɨɧɧɵɟ ɭɩɚɤɨɜɨɱɧɵɟ ɜɤɥɚɞɵɲɢ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɭɫɬɪɨɣɫɬɜɚ ɧɟ ɫɨɞɟɪɠɚɬ ɫɩɟɰɢɚɥɶɧɵɯ ɢɧɫɬɪɭɤɰɢɣ, ɪɚɡɪɟɲɚɸɳɢɯ ɩɪɢɦɟɧɟɧɢɟ ɷɬɢɯ ɦɟɬɨɞɨɜ.

Ɉɛɟɡɡɚɪɚɠɢɜɚɧɢɟ

x ɋɥɟɞɭɣɬɟ ɩɪɨɰɟɞɭɪɚɦ, ɨɩɢɫɚɧɧɵɦ ɜ ɬɚɛɥɢɰɚɯ 1 ɢɥɢ 2 ɢ ɬɚɛɥɢɰɟ 4. ɏɪɚɧɟɧɢɟ

x ɋɬɟɪɢɥɶɧɵɟ ɭɩɚɤɨɜɚɧɧɵɟ ɢɧɫɬɪɭɦɟɧɬɵ ɞɨɥɠɧɵ ɯɪɚɧɢɬɶɫɹ ɜ ɩɪɟɞɧɚɡɧɚɱɟɧɧɨɣ ɡɨɧɟ ɫ ɨɝɪɚɧɢɱɟɧɧɵɦ ɞɨɫɬɭɩɨɦ, ɤɨɬɨɪɚɹ ɯɨɪɨɲɨ ɜɟɧɬɢɥɢɪɭɟɬɫɹ ɢ ɡɚɳɢɳɚɟɬ ɨɬ ɩɵɥɢ, ɧɚɫɟɤɨɦɵɯ ɢ ɷɤɫɬɪɟɦɚɥɶɧɵɯ ɭɪɨɜɧɟɣ ɬɟɦɩɟɪɚɬɭɪɵ ɢ ɜɥɚɠɧɨɫɬɢ.

Ɉɬɜɟɬɫɬɜɟɧɧɨɫɬɶ ɛɨɥɶɧɢɰɵ ɡɚ ɢɧɫɬɪɭɦɟɧɬɵ, ɩɨɥɭɱɟɧɧɵɟ ɨɬ ɤɨɦɩɚɧɢɢ Medtronic ɜɨ ɜɪɟɦɟɧɧɨɟ ɩɨɥɶɡɨɜɚɧɢɟ

x ɋɩɢɧɚɥɶɧɵɟ ɢ ɨɪɬɨɩɟɞɢɱɟɫɤɢɟ ɯɢɪɭɪɝɢɱɟɫɤɢɟ ɢɧɫɬɪɭɦɟɧɬɵ

ɨɛɵɱɧɨ ɢɦɟɸɬ ɞɥɢɬɟɥɶɧɵɣ ɫɪɨɤ ɝɨɞɧɨɫɬɢ; ɨɞɧɚɤɨ ɧɟɩɪɚɜɢɥɶɧɨɟ ɨɛɪɚɳɟɧɢɟ ɢɥɢ ɧɟɚɞɟɤɜɚɬɧɚɹ ɡɚɳɢɬɚ ɦɨɝɭɬ ɡɧɚɱɢɬɟɥɶɧɨ ɫɨɤɪɚɬɢɬɶ ɢɯ ɨɠɢɞɚɟɦɵɣ ɫɪɨɤ ɞɟɣɫɬɜɢɹ. ɂɧɫɬɪɭɦɟɧɬɵ, ɩɪɢɲɟɞɲɢɟ ɜ ɧɟɝɨɞɧɨɫɬɶ ɜɜɢɞɭ ɩɪɨɞɨɥɠɢɬɟɥɶɧɨɝɨ ɢɫɩɨɥɶɡɨɜɚɧɢɹ, ɧɟɩɪɚɜɢɥɶɧɨɝɨ ɨɛɪɚɳɟɧɢɹ ɢɥɢ ɭɯɨɞɚ, ɫɥɟɞɭɟɬ ɫɩɢɫɚɬɶ. ɍɜɟɞɨɦɥɹɣɬɟ ɩɪɟɞɫɬɚɜɢɬɟɥɹ ɤɨɦɩɚɧɢɢ Medtronic ɨ ɥɸɛɵɯ ɩɪɨɛɥɟɦɚɯ, ɤɚɫɚɸɳɢɯɫɹ ɢɧɫɬɪɭɦɟɧɬɨɜ.

Cтранице 46

Ʉɪɚɬɤɨɟ ɫɩɪɚɜɨɱɧɨɟ ɪɭɤɨɜɨɞɫɬɜɨ

РУССКИЙ

x Ʉɨɦɩɥɟɤɬɵ ɜɪɟɦɟɧɧɨɝɨ ɩɨɥɶɡɨɜɚɧɢɹ ɫɥɟɞɭɟɬ ɩɨɞɜɟɪɝɧɭɬɶ ɜɫɟɦ ɷɬɚɩɚɦ ɨɛɟɡɡɚɪɚɠɢɜɚɧɢɹ, ɨɱɢɫɬɤɢ, ɞɟɡɢɧɮɟɤɰɢɢ, ɨɫɦɨɬɪɚ ɢ ɨɤɨɧɱɚɬɟɥɶɧɨɣ ɫɬɟɪɢɥɢɡɚɰɢɢ ɩɟɪɟɞ ɜɨɡɜɪɚɬɨɦ ɜ ɤɨɦɩɚɧɢɸ Medtronic.

Ɍɚɛɥɢɰɚ 4: ɍɬɜɟɪɠɞɟɧɧɵɟ ɩɚɪɚɦɟɬɪɵ ɫɬɟɪɢɥɢɡɚɰɢɢ ɩɚɪɨɦ Ɍɢɩ ɰɢɤɥɚ 1, 2, 3

ɉɪɟɞɜɚɪɢ ɬɟɥɶɧɨɟ ɜɚɤɭɭɦɢɪɨɜɚ ɧɢɟ 1, 2, 4

ɉɪɟɞɜɚɪɢ ɬɟɥɶɧɨɟ ɜɚɤɭɭɦɢɪɨɜɚ ɧɢɟ

Ɍɟɦɩɟɪɚɬɭɪɚ 132 °C 270 °F

30,7 ɮɭɧɬ/ ɤɜ.ɞɸɣɦ

134 °C

2,3 ɛɚɪ

273 °F

33,2 ɮɭɧɬ/ ɤɜ.ɞɸɣɦ

1, 2

134 °C

Ƚɪɚɜɢɬɚɰɢɹ

273 °F

1, 2

121 °C

Ƚɪɚɜɢɬɚɰɢɹ

250 °F

1. 2. 3. 4.

5, 8

Ⱦɚɜɥɟɧɢɟ 2,1 ɛɚɪ

2,3 ɛɚɪ 33,2 ɮɭɧɬ/ ɤɜ.ɞɸɣɦ 1,3 ɛɚɪ 18,2 ɮɭɧɬ/ ɤɜ.ɞɸɣɦ

6 ȼɪɟɦɹ ɜɵɞɟɪɠɤɢ

7

ȼɪɟɦɹ ɫɭɲɤɢ

4 ɦɢɧ

30 ɦɢɧ

20 ɦɢɧ

30 ɦɢɧ

20 ɦɢɧ

30 ɦɢɧ

60 ɦɢɧ

30 ɦɢɧ

Ɇɢɧɢɦɚɥɶɧɨɟ ɭɬɜɟɪɠɞɟɧɧɨɟ ɜɪɟɦɹ ɫɬɟɪɢɥɢɡɚɰɢɢ ɩɚɪɨɦ, ɧɟɨɛɯɨɞɢɦɨɟ ɞɥɹ ɞɨɫɬɢɠɟɧɢɹ ɭɪɨɜɧɹ ɝɚɪɚɧɬɢɢ ɫɬɟɪɢɥɶɧɨɫɬɢ 10- 6 (SAL). Ɇɢɧɢɦɚɥɶɧɚɹ ɭɬɜɟɪɠɞɟɧɧɚɹ ɬɟɦɩɟɪɚɬɭɪɚ ɫɬɟɪɢɥɢɡɚɰɢɢ ɩɚɪɨɦ, ɧɟɨɛɯɨɞɢɦɚɹ ɞɥɹ ɞɨɫɬɢɠɟɧɢɹ ɭɪɨɜɧɹ ɝɚɪɚɧɬɢɢ ɫɬɟɪɢɥɶɧɨɫɬɢ 10- 6 (SAL). Ɇɟɫɬɧɵɟ ɢɥɢ ɧɚɰɢɨɧɚɥɶɧɵɟ ɫɩɟɰɢɮɢɤɚɰɢɢ ɞɨɥɠɧɵ ɫɨɛɥɸɞɚɬɶɫɹ ɜ ɫɥɭɱɚɹɯ, ɤɨɝɞɚ ɬɪɟɛɨɜɚɧɢɹ ɤ ɫɬɟɪɢɥɢɡɚɰɢɢ ɩɚɪɨɦ ɛɨɥɟɟ ɫɬɪɨɝɢɟ ɢɥɢ ɤɨɧɫɟɪɜɚɬɢɜɧɵɟ, ɱɟɦ ɭɤɚɡɚɧɧɵɟ ɜ ɬɚɛɥɢɰɟ 4. ɉɚɪɚɦɟɬɪɵ ɞɟɡɢɧɮɟɤɰɢɢ/ɩɚɪɨɜɨɣ ɫɬɟɪɢɥɢɡɚɰɢɢ, ɪɟɤɨɦɟɧɞɨɜɚɧɧɵɟ ȼɫɟɦɢɪɧɨɣ Ɉɪɝɚɧɢɡɚɰɢɟɣ Ɂɞɪɚɜɨɨɯɪɚɧɟɧɢɹ (ȼɈɁ) ɞɥɹ ɢɧɫɬɪɭɦɟɧɬɨɜ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɢɫɩɨɥɶɡɨɜɚɧɢɹ, ɜ ɫɥɭɱɚɹɯ ɨɩɚɫɧɨɫɬɢ ɡɚɪɚɠɟɧɢɹ ɬɪɚɧɫɦɢɫɫɢɜɧɨɣ ɝɭɛɱɚɬɨɣ ɷɧɰɟɮɚɥɨɩɚɬɢɟɣ ɢɥɢ ɛɨɥɟɡɧɶɸ Ʉɪɟɣɬɰɮɟɥɶɞɚ-əɤɨɛɚ.

5.

ɍɪɨɜɟɧɶ ɦɨɪɹ

6.

ɐɢɤɥɵ ɩɚɪɨɜɨɣ ɫɬɟɪɢɥɢɡɚɰɢɢ AAMI/AORN ɫ ɛɨɥɟɟ ɩɪɨɞɨɥɠɢɬɟɥɶɧɵɦ ɜɪɟɦɟɧɟɦ, ɱɟɦ ɭɤɚɡɚɧɧɨɟ ɜ ɪɭɤɨɜɨɞɫɬɜɟ, ɬɚɤɠɟ ɩɪɢɟɦɥɟɦɵ.

7.

ȼɪɟɦɹ ɫɭɲɤɢ ɦɟɧɹɟɬɫɹ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɨɛɴɟɦɚ ɡɚɝɪɭɡɤɢ ɢ ɞɨɥɠɧɨ ɛɵɬɶ ɭɜɟɥɢɱɟɧɨ ɞɥɹ ɛɨɥɶɲɢɯ ɡɚɝɪɭɡɨɤ.

8.

Ɇɢɧɢɦɚɥɶɧɨɟ ɭɬɜɟɪɠɞɟɧɧɨɟ ɞɚɜɥɟɧɢɟ ɫɬɟɪɢɥɢɡɚɰɢɢ ɩɚɪɨɦ, ɧɟɨɛɯɨɞɢɦɨɟ ɞɥɹ ɞɨɫɬɢɠɟɧɢɹ ɭɪɨɜɧɹ ɝɚɪɚɧɬɢɢ ɫɬɟɪɢɥɶɧɨɫɬɢ 10-6 (SAL).

0381424 Rev C

x ȼɜɢɞɭ ɦɧɨɠɟɫɬɜɚ ɮɚɤɬɨɪɨɜ, ɜɥɢɹɸɳɢɯ ɧɚ ɩɪɨɰɟɫɫ

ɫɬɟɪɢɥɢɡɚɰɢɢ/ɨɛɟɡɡɚɪɚɠɢɜɚɧɢɹ, ɤɚɠɞɨɟ ɦɟɞɢɰɢɧɫɤɨɟ ɭɱɪɟɠɞɟɧɢɟ ɞɨɥɠɧɨ ɨɬɤɚɥɢɛɪɨɜɚɬɶ ɢ ɩɪɨɜɟɪɢɬɶ ɩɪɨɰɟɫɫ ɫɬɟɪɢɥɢɡɚɰɢɢ/ɨɛɟɡɡɚɪɚɠɢɜɚɧɢɹ (ɧɚɩɪɢɦɟɪ, ɡɧɚɱɟɧɢɹ ɬɟɦɩɟɪɚɬɭɪɵ, ɜɪɟɦɹ ɜɵɞɟɪɠɤɢ), ɢɫɩɨɥɶɡɭɟɦɵɣ ɞɥɹ ɨɛɨɪɭɞɨɜɚɧɢɹ. Ɉɰɟɧɤɢ, ɩɟɪɟɱɢɫɥɟɧɧɵɟ ɜ ɬɚɛɥɢɰɟ 4, ɛɵɥɢ ɜɵɩɨɥɧɟɧɵ ɞɥɹ ɚɥɸɦɢɧɢɟɜɵɯ ɹɳɢɤɨɜ ɢ ɥɨɬɤɨɜ ɤɨɦɩɚɧɢɢ Medtronic, ɩɪɟɞɧɚɡɧɚɱɟɧɧɵɯ ɞɥɹ ɯɪɚɧɟɧɢɹ ɢɧɫɬɪɭɦɟɧɬɨɜ. x Ɇɟɞɢɰɢɧɫɤɨɟ ɭɱɪɟɠɞɟɧɢɟ ɧɟɫɟɬ ɨɬɜɟɬɫɬɜɟɧɧɨɫɬɶ ɡɚ ɩɪɨɜɟɞɟɧɢɟ ɩɨɜɬɨɪɧɨɣ ɨɛɪɚɛɨɬɤɢ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɨɛɨɪɭɞɨɜɚɧɢɹ ɢ ɦɚɬɟɪɢɚɥɨɜ ɢ ɚɞɟɤɜɚɬɧɭɸ ɩɨɞɝɨɬɨɜɤɭ ɩɟɪɫɨɧɚɥɚ ɰɟɧɬɪɚ ɩɨɜɬɨɪɧɨɣ ɨɛɪɚɛɨɬɤɢ ɞɥɹ ɞɨɫɬɢɠɟɧɢɹ ɠɟɥɚɟɦɨɝɨ ɪɟɡɭɥɶɬɚɬɚ. ɂɇɎɈɊɆȺɐɂə ɈɌȾȿɅȺ ɈȻɋɅɍɀɂȼȺɇɂə ɄɅɂȿɇɌɈȼ:

ȺȾɊȿɋ ɌȿɅȿɎɈɇ Medtronic, Inc. 800 933 2635 (ɜ ɋɒȺ) 1800 Pyramid Place +1 901 396 3133 (ɡɚ ɩɪɟɞɟɥɚɦɢ ɋɒȺ) Memphis, TN 38132 Ɏɚɤɫ: +1 901 396 0356 Medtronic B.V. + 31 45 566 80 00 Earl Bakkenstraat 6422 PJ Heerlen The Netherlands (ɇɢɞɟɪɥɚɧɞɵ) Ɋɭɤɨɜɨɞɫɬɜɨ ɤɨɦɩɚɧɢɢ Medtronic ɩɨ ɨɱɢɫɬɤɟ ɢ ɬɟɯɧɢɱɟɫɤɨɦɭ ɨɛɫɥɭɠɢɜɚɧɢɸ ɢɧɫɬɪɭɦɟɧɬɨɜ ɢ ɜɫɩɨɦɨɝɚɬɟɥɶɧɨɟ Ʉɪɚɬɤɨɟ ɫɩɪɚɜɨɱɧɨɟ ɪɭɤɨɜɨɞɫɬɜɨ ɦɨɠɧɨ ɧɚɣɬɢ ɧɚ ɫɚɣɬɟ www.medtronic.com/manuals

ɉɊɂɆȿɑȺɇɂȿ: ɇɟɨɛɯɨɞɢɦɨ ɫɬɪɨɝɨ ɫɨɛɥɸɞɚɬɶ ɢɧɫɬɪɭɤɰɢɢ ɩɪɨɢɡɜɨɞɢɬɟɥɹ ɫɬɟɪɢɥɢɡɭɸɳɟɝɨ ɨɛɨɪɭɞɨɜɚɧɢɹ ɩɨ ɪɟɠɢɦɚɦ ɷɤɫɩɥɭɚɬɚɰɢɢ ɢ ɤɨɧɮɢɝɭɪɚɰɢɢ ɡɚɝɪɭɡɤɢ.

ȼɚɠɧɨɟ ɡɚɦɟɱɚɧɢɟ

x ɂɧɫɬɪɭɤɰɢɢ, ɫɨɞɟɪɠɚɳɢɟɫɹ ɜ ɞɚɧɧɨɦ ɪɭɤɨɜɨɞɫɬɜɟ, ɭɬɜɟɪɠɞɟɧɵ

ɤɨɦɩɚɧɢɟɣ Medtronic ɢ ɉɈɁȼɈɅəɘɌ ɩɨɞɝɨɬɨɜɢɬɶ ɦɟɞɢɰɢɧɫɤɢɟ ɭɫɬɪɨɣɫɬɜɚ ɞɥɹ ɩɨɜɬɨɪɧɨɝɨ ɢɫɩɨɥɶɡɨɜɚɧɢɹ. ɂɫɩɵɬɚɧɢɹ ɩɨɤɚɡɚɥɢ ɞɨɫɬɢɠɟɧɢɟ ɭɪɨɜɧɹ ɝɚɪɚɧɬɢɢ ɫɬɟɪɢɥɶɧɨɫɬɢ 10-6. Ⱦɥɹ ɞɨɫɬɢɠɟɧɢɹ ɠɟɥɚɟɦɨɝɨ ɪɟɡɭɥɶɬɚɬɚ ɪɚɛɨɬɧɢɤɢ ɞɨɥɠɧɵ ɩɪɨɜɨɞɢɬɶ ɨɛɪɚɛɨɬɤɭ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɨɛɨɪɭɞɨɜɚɧɢɹ, ɦɚɬɟɪɢɚɥɨɜ ɢ ɫ ɩɨɦɨɳɶɸ ɩɟɪɫɨɧɚɥɚ ɜ ɩɪɟɞɧɚɡɧɚɱɟɧɧɨɦ ɞɥɹ ɷɬɨɝɨ ɩɨɦɟɳɟɧɢɢ. ɗɬɨ ɬɪɟɛɭɟɬ ɩɪɨɜɟɪɤɢ ɢ ɪɭɬɢɧɧɨɝɨ ɦɨɧɢɬɨɪɢɧɝɚ ɩɪɨɰɟɫɫɚ ɨɛɪɚɛɨɬɤɢ. Ȼɨɥɟɟ ɬɨɝɨ, ɷɮɮɟɤɬɢɜɧɨɫɬɶ ɢ ɩɨɬɟɧɰɢɚɥɶɧɵɟ ɧɟɛɥɚɝɨɩɪɢɹɬɧɵɟ ɩɨɫɥɟɞɫɬɜɢɹ ɨɬɤɥɨɧɟɧɢɹ ɨɬ ɜɵɩɨɥɧɟɧɢɹ ɩɪɟɞɨɫɬɚɜɥɟɧɧɵɯ ɢɧɫɬɪɭɤɰɢɣ ɞɨɥɠɧɵ ɪɚɫɫɦɚɬɪɢɜɚɬɶɫɹ ɞɨɥɠɧɵɦ ɨɛɪɚɡɨɦ. ɉɨɥɶɡɨɜɚɬɟɥɢ ɦɨɝɭɬ ɡɚɬɟɦ ɭɱɪɟɞɢɬɶ ɫɨɨɬɜɟɬɫɬɜɭɸɳɢɣ ɩɪɨɬɨɤɨɥ ɨɱɢɫɬɤɢ ɞɥɹ ɦɟɞɢɰɢɧɫɤɢɯ ɭɫɬɪɨɣɫɬɜ ɦɧɨɝɨɤɪɚɬɧɨɝɨ ɩɨɥɶɡɨɜɚɧɢɹ, ɢɫɩɨɥɶɡɭɟɦɵɯ ɧɚ ɦɟɫɬɚɯ, ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɪɟɤɨɦɟɧɞɚɰɢɣ ɩɪɨɢɡɜɨɞɢɬɟɥɹ ɭɫɬɪɨɣɫɬɜɚ ɢ ɩɪɨɢɡɜɨɞɢɬɟɥɹ ɱɢɫɬɹɳɟɝɨ ɫɪɟɞɫɬɜɚ.

04/2010

Cтранице 47

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0381424 Rev. C 04/10 04/2010

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