This device is delivered non sterile and must NOT be sterilised before use!
This device CANNOT be used with an over tube.
Mounting the Multiband Ligator:
- Unpack and check all parts of the system carefully. Ensure that all parts are in the package.
- The tracking wire of the Multiband Ligator is already pre-mounted into an introduction catheter.
- Straighten the endoscope. We recommend the use of a biopsy valve. Keep its lid open.
- Insert the catheter into the biopsy channel until it comes out of the distal tip of the scope.
- Fix the handle inside the biopsy channel port.
- Hold the distal tip of the introduction catheter and remove the plastic part by slowly pulling it out of the endoscope until only tracking wire is left for the next fixing step.
- Do not roll up the catheter on your hands to remove as it will block the inner tracking wire and then prevent the catheter to go out from the biopsy channel.
- Take the band barrel loop and connect it with the tracking wire loop properly as shown below, making a flat knot.
- In order to tighten the knot, pull only the wires instead of pulling the whole cap as this could misfire a ring before the procedure.
- Ensure that the handle has the alignment arrows facing each other.
- Using the small wheel, carefully and slowly pull the band barrel close to the tip of the scope.
- Mount the band barrel on the tip of the scope and ensure that the soft part is properly fixed on the scope in a way that it cannot fall off.
- Rotate the band barrel in order to prevent the tracking wire being in front of the endoscope camera.
- Now bend the endoscope in a J shape as to reproduce the position of introduction of the endoscope into the patient.
- Slowly tension the tracking wire by turning the small wheel until you feel a small tension.
- Verify the tension is enough by either looking at the monitor if the endoscope is already connected to the tower and lit up, or looking directly into the cap through the distal tip of the endoscope if the same is not connected to the tower. The wires must be in a straight position, tensioned.
- Do not tension beyond this slight tension point to avoid shooting a ring.
- If after inserting the handle of the device into the working channel entry port the handle is not stable enough or can move with soft movements of the scope, please remove the biopsy valve along with the handle of the device by 2cm up from the endoscope. Then press the handle further into