BD EnCor Enspire Quick Reference Manual

Breast biopsy system
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EnCor Enspire
Breast Biopsy System
Quick Reference Guide
MRI

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Summary of Contents for BD EnCor Enspire

  • Page 1 EnCor Enspire ™ Breast Biopsy System Quick Reference Guide...
  • Page 3: Table Of Contents

    Sampling ................................................3.1 Marker placement .............................................3.2 Cleanup .................................................3.3 Probe specifications ............................................3.4 This Quick Reference Guide for the EnCor Enspire Breast Biopsy System is intended ® as a summary overview only. Please consult product labels and inserts for indications, contraindications, hazards, warnings, precautions, and directions for use.
  • Page 4: Easy Setup

    Easy setup System power up Vacuum setup Probe setup...
  • Page 5 2. Connect appropriate EnCor Driver/s to rectangular connector 4. Connect the Foot Pedal at rear of console (if desired). ® on rear of console. The Active Driver is indicated by a green LED light above connector. EnCor Enspire™ quick reference...
  • Page 6: Vacuum Setup

    Easy setup System power up Vacuum setup Probe setup...
  • Page 7 Connect elbow to Place canister into console. Load tubing cassette center of canister lid. (ensure it “clicks” into place). Connect tubing cassette If using rinse cassette, to patient port on canister. spike and attach saline bag. EnCor Enspire™ quick reference...
  • Page 8: Probe Setup

    Easy setup System power up Vacuum setup Probe setup...
  • Page 9 An audible click cassette (large purple port). Then, on the MRI Driver. should be heard. attach other end of extension tubing to the probe’s tubing. Connect rinse lines (small blue port) if using rinse. EnCor Enspire™ quick reference...
  • Page 11 Touch screen setup Ensure that the correct driver is selected prior to calibration. Press the sample switch on either the foot pedal or the handpiece to calibrate the probe. EnCor Enspire™ quick reference...
  • Page 12: Targeting

    Targeting Prepping the breast surface Trocar preparation Locking the block Securing the cannula Verifying VisiLoc position ™...
  • Page 13 Identify the appropriate grid fenestration based on the targeted location. Anesthetize along the entire targeted path Use an MRI approved scalpel to make and ~2cm beyond the targeted region. a skin nick at the targeted area. EnCor Enspire™ quick reference...
  • Page 14: Trocar Preparation

    Targeting Prepping the breast surface Trocar preparation Locking the block Securing the cannula Verifying VisiLoc position ™...
  • Page 15 Insert trocar through the cannula. depth. Be sure to add 2 cm to the calculated depth to account for the thickness of the block. Slide trocar and cannula through the appropriate aperture of the locking block. EnCor Enspire™ quick reference...
  • Page 16 Targeting Prepping the breast surface Trocar preparation Locking the block Securing the cannula Verifying VisiLoc position ™...
  • Page 17 Insert the tip of the trocar into the skin nick and lock the block into the grid fenestration by rotating the lever into the locked position, denoted by the “L” on the block. EnCor Enspire™ quick reference...
  • Page 18 Targeting Prepping the breast surface Trocar preparation Locking the block Securing the cannula Verifying VisiLoc position ™...
  • Page 19 Securing the cannula While holding the cannula hub, gently twist the trocar and cannula while inserting to the set depth. Lock the cannula into place by rotating the depth stop clockwise. EnCor Enspire™ quick reference...
  • Page 20 Targeting Prepping the breast surface Trocar preparation Locking the block Securing the cannula Verifying VisiLoc position ™...
  • Page 21 Verifying VisiLoc position ™ Remove trocar and replace with VisiLoc MRI-visible obturator. ™ Confirm placement by repeating scan sequence. The tip of obturator represents middle of sample notch. EnCor Enspire™ quick reference...
  • Page 22: Routine Procedures

    Routine procedures Sampling Marker placement Cleanup Probe specifications...
  • Page 23 VAC switch on the foot pedal or handpiece. simply release the switch. While the collection chamber remains sealed at all times during tissue acquisition, the tray can be removed for close inspection of samples. EnCor Enspire™ quick reference...
  • Page 24: Cleanup

    Routine procedures Sampling Marker placement Cleanup Probe specifications...
  • Page 25 Re-image per facility protocol. To re-image in MRI, remove the marker applicator and re-insert the obturator into the cannula. Leave about 1 cm extending from the hub to prevent disturbance of the marker in the cavity. EnCor Enspire™ quick reference...
  • Page 26 Routine procedures Sampling Marker placement Cleanup Probe specifications...
  • Page 27 Disconnect tubing and sample collection chamber tube and roll up. from probe and dispose in red bag. Remove probe from driver and dispose in sharps Remove and dispose of canister, tubing cassette biohazard container. and optional saline bag. EnCor Enspire™ quick reference...
  • Page 28 Routine procedures Sampling Marker placement Cleanup Probe specifications...
  • Page 29 Probe specifications Depth below obturator tip VisiLoc obturator Trocar Block depth Sample notch Blunt tip probe Half sample Trocar tip probe Probe size Depth beyond Obturator tip: Trocar 18 mm 17 mm Blunt tip probe 15 mm Trocar tip probe 21 mm 20 mm Sample notch length:...
  • Page 30 Notes...
  • Page 32 ™ ® is not compatible with earlier driver scripts. The script version is identified on the touch screen display during system initialization. 5. The Encor Enspire ™ Breast Biopsy System console may not be placed in an MRI suite. Place the console outside of the MRI suite and use the appropriate Encor ®...

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