COOK Medical Fusion OASIS Quick Reference Manual

®
OASIS
®
ONE
ACTION STENT INTRODUCTION SYS TEM
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Step 1Tips
Place the desired stent and positioning sleeve onto the device, making sure the distal flap of the stent is covered.
1) Fusion Oasis is compatible with Cotton-Leung®, Cotton-Huibregste® and ST-2 Soehendra Tannenbaum®.
2) The tapered tip end of the stent or
sideholes (if any) must be positioned in the common bile duct while the other end remains in the duodenum.
Step 2 Step 3
Backload the device onto pre-positioned wire guide, ensuring the wire guide exits the IDE port.
Unlock the wire guide from the Wire Guide Locking Device and advance the device into the endoscope accessory channel. Once the IDE port is inside of the accessory channel, relock the wire guide.
Step 4
Advance the device in short increments until the stent is inside of the accessory channel, then slide the positioning sleeve over the pushing catheter, keeping it clear of the accessory channel. Continue advancing the device into the appropriate duct.
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© COOK 2014 ESC-WM -19546- EN-201403
Step 9
The introducer, separated from the stent.
Step 8
To deploy the stent, retract the guiding catheter into the endoscope while maintaining the position of the pushing catheter. Confirm the position of the stent once the guiding catheter is removed, then remove the pushing catheter from the accessory channel.
Refer to current instructions for detailed system use.
Step 5 Step 6 Step 7
Fluoroscopically monitor the radiopaque band on the distal end of the guiding catheter. When a sufficient length of the guiding catheter is above the stricture, disconnect the Luer lock fitting (the gray connection with black arrows) on the device.
Maintain position of the guiding catheter and advance the stent into the desired position using the pushing catheter. Fluoroscopically and endoscopically confirm desired stent placement.
Unlock the wire guide from the Wire Guide Locking Device. Using fluoroscopy, retract the wire guide until it exits the guiding catheter at the IDE port. For multiple stent placement, advance the disengaged wire guide to maintain ductal access and relock the wire guide.
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