1. insert the black pen-shaped end of the optical fibre lightcable into the hollow handle of the rectoscope: connect the other end to the Sapi Med’s cold light generators to ensure optimal lighting of the examination area
2. lubricate the MPRs and obturators using an inert gel (Lu J, Sapi Med)
3. gradually introduce the scope into patient’s anus: depth can be checked reading the “roman” silk-screen
4. remove the obdurator and attach the grip with a clockwise twist
5. close the grip lid with light thumb pressure applied to the black lens frame
6. attach the bellows set/disk filter attachment to the small cylindrical tube found on the left part of the lid, and insufflate air into the rectum to stretch the mucosa
7. surgical examination can then begin.
Below the lens lies a membrane, with a cross marking aweakened point. This makes the handling of forceps for mucosa biopsy easier, whilst keeping the rectum walls stretched. Rectoscopes diameter and length have been designed to allow the insertion of a suitable probe for endorectal ecography for an accurate diagnosis of the rectal ampulla.
Only for REF A.4522: the two small fins found on the right of polymer grip are designed to anchor the tap to the rectoscope probe and allow the two devices rotate together. The “slated” silk-screen allows adjustment of the probe during introduction into the rectum.