Revolve ST Flashcards

Basic knowledge

1
Q

Product Features

How do I understand the order codes for revolve?

ST/US

A

Product Features

ST/US

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2
Q

Competitive Selling

With revolve, how do I know which needle guide to order?

ST

A

Competitive Selling

The adaptors are different for Legacy and Revolve. Make sure when setting up an evaluation that the correct adaptor is ordered prior to the start of the evaluation. The adaptors are ordered from Siemen’s.

ST

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3
Q

Clinical Interview Selling

Name one Key Item to remember with revolve and Siemen’s Inspiration and Inspiration Prime

ST

A

Clinical Interview Selling

All Stereo systems use the fork guide, except the GE upright system which use button.

ST

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4
Q

Product Features

Why is the advanced collection chamber a key feature of revolve®?

ST/US

A

Product Features

  • Ease of tissue management
  • Less handling of tissue/less crush artifact
  • Separated tissue to correlate which sample has calcs
  • Numbered tissue for pathology to identify samples with area of interest

ST/US

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5
Q

Product Features

Why would you adjust your vacuum when performing a biopsy?

ST/US

ST/US

A

Product Features

Decrease the vacuum:

  1. fatty breast
  2. avoiding structures like vessels or nipple
  3. avoiding implants

•Increase the vacuum:

  1. Dense breast or lesion
  2. Scattered calcs and need more tissue

ST/US

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6
Q

Product Features

Saline is important for what in revolve?

ST/US

A

Product Features

Saline is important for the transportation of the tissue through the shaft of the probe to the collection chamber.

ST/US

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7
Q

Product Features

How do you adjust the aperture on revolve?

A

Product Features

Touch the Variable aperture button upper left on screen and select the size. After selecting the size you must hit open/close to set the new aperture. (Note reset to full before deploying most clips)

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8
Q

Product Features

Advance to chamber 7 and Reset Chamber

ST/US

A

Product Features

  • Select advance to chamber 7 when samples 1-5
  • Select reset chamber when a new collection chamber is used

ST/US

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9
Q

Product Features

How do I remove the vacuum tube from the revolve control module?

ST/US

A

Product Features

ST/US

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10
Q

Product Features

2 ways to Load the probe with revolve

ST/US

A

Product Features

  1. Load the probe on the holder attached to the cart Note: do not arm the probe on the holder
  2. Load the probe with two hands (easiest when the probe and holster are held to the side) then arm and proceed

ST/US

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11
Q

Product Features

Initializing the probe with revolve

ST/US

A

Product Features

After loading the probe the Initialize probe button will appear on the screen select the button. After you select the button the probe will run through initialization in this order

  1. Cutter
  2. Collection chamber
  3. Vacuum (please note saline should flow to the Y connection)

ST/US

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12
Q

Product Features

Steps for meds through the stopcock with revolve

ST/US

A

Product Features

  1. Place the syringe on the stopcock
  2. Open the aperture
  3. Open the stopcock and begin pushing meds until fluid is in the lateral line
  4. Close front clamp
  5. Continue pushing meds
  6. Close the stopcock
  7. Open clamp
  8. Apply vacuum to clear the lines
  9. Resume procedure

ST/US

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13
Q

Product Features

Marker difficult to Deploy with revolve

ST/US

A

Product Features

  1. Is the aperture open
  2. Is variable aperture setting at full
  3. Is alignment correct for the probe and marker applicator

ST/US

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14
Q

Product Features

Revolve probe specs

ST

A

Product Features

ST

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15
Q

Product Features

Why is dual vacuum key in optimal core size

ST/US

A

Product Features

Dual vacuum allows for the tissue to fill the chamber while cutting. The lateral vacuum pulls in the tissue the entire length of the aperture. This gives a uniform contiguous sample without the tissue being cut off at the distal end.

ST/US

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16
Q

Product Features

Why would you choose different probe lengths with revolve?

ST

A

Product Features

  • Probe length may depend on the ST table (ex: the Siemen’s Inspiration only uses 12 cm probes)
  • Probe length can also vary depending on the breast thickness, a thicker breast may need a longer probe to allow depth access

ST

17
Q

Product Features

What is the weld line and why is it significant?

ST/US

A

Product Features

  • The account must understand that the weld line is not the start of the aperture in the patients breast.
  • It is a good indicator if you are deep enough in the breast to start biopsy.

ST/US

18
Q

Product Features

Changing Language and checking the error log.

ST/US

A

Product Features

ST/US

19
Q

Product Features

How do you change the vacuum with revolve?

ST/US

A

Product Features

  • Touch the vacuum button in the lower left of the screen
  • Select appropriate vacuum level
  • The vacuum will stay at that level until the power is shut off.

ST/US

20
Q

Product Features​

What is set view position and when to use it?

ST/US

A

Product Features

Set view position is the ability for the clinician to see a sample as they take a sample. When selected the sample is deposited into the next chamber and then the chamber rotates to show the sample selected. When the biopsy button is pressed for the next biopsy it rotates back to the next sample chamber.

ST/US

21
Q

Product Features

Steps for biopsy with revolve

ST

A

Product Features

Once the probe is at post-fire within the breast.

  1. Biopsy is pressed on the input device (either hold or individual taps)
  2. Rotate the clock position as each sample is taken
  3. After sampling, press the vacuum quickly (quick tap) to clear the probe
  4. Press open/close to open the aperture
  5. Press SteadyVac
  6. Remove the cup from the probe (1/4 turn to remove the cup)
  7. Remove specimen’s and image
  8. If specimen okay shut off SteadyVac
  9. Place clip
  10. Put system in standby

ST

22
Q

Product Features

How is the revolve armed and name two ways to disarm.

ST

A

Product Features

Arm the revolve by pressing the arm button on the active side of the holster.

To disarm the probe:

  1. press the safety button and then the fire button
  2. press the arm button to do a soft fire and slowly disarm.

ST

23
Q

Product Features

Which side of the holster is active and how to change the active side?

ST

A

Product Features

The active side of the holster will have a blue light indicating it is active.

Press and hold the open/close button on the inactive side until the lights flash. Press the open/close button on the side of the holster that needs to be active.

ST

24
Q

Product Features

Two ways to take a biopsy on revolve

ST/US

A

Product Features

  1. Tap the biopsy button and release
  2. Hold down the biopsy button for continuous biopsy

ST/US

25
Q

Product Features

Lidocaine Fill volumes when pushed through the stopcock.

ST

A

Product Features

8ga:

9cm 9cc

12cm 9cc

15cm 10cc

10ga:

all lengths 8cc

ST

26
Q

Product Features

What is SteadyVac?

What happens when SteadyVac is turned on?

ST/US

A

Product Features

SteadyVac is low level vacuum that keeps the cavity clear and controls bleeding.

When SteadyVac is turned on

  • The cutter moves to 12mm open
  • Lateral vac turns on at low level 15in/Hg
  • Cup rotates to 13th chamber/Marker port

When SteadyVac is turned off

  • Cutter goes to position it was in prior to entry to SteadyVac
  • Lateral vac turns off
  • Cup returns to most recent chamber

ST/US

27
Q

Product Features

When should I replace my demo probe?

ST/US

A

Product Features

Demo probes should discarded:

  • When used in meat products
  • When they do not attach easily to the holster
  • When they do not initialize correctly

ST/US

28
Q

Product Features

Explain why dual vacuum gives better samples.

ST/US

A

Product Features

The lateral line holds the tissue in place so the cutter can move forward and retrieve a sample along the whole length of the aperture.

(note with competitors they only have axial so the sample blocks the vacuum and loses contact with the distal part of the sample in the aperture)

ST/US

29
Q

Product Features

Why does the aperture have angled edges?

ST/US

A

Product Features

To obtain the most precise cut there is a 28 degree aperture. This acts like scissors to assure the tissue edges are cut cleanly.

ST/US

30
Q

Product Features

How does the Tissue stop technology help with tissue samples?

ST/US

A

Product Features

The patented tissue stop at the distal end of the cutter assures the tissue as well as the Cooper’s Ligaments are fully severed before transport of the tissue. It prevents tissue from being pushed into the end of the aperture.

ST/US

31
Q

Product Features

Why won’t my demo probe load?

ST/US

A

Product Features

Cutter must be open a slight amount at distal end. This allows for forward motion while loading the probe. If not open use gear on bottom of probe to open a few mm.

ST/US

32
Q

Product Features

What is the correct alignment of the collection chamber after initialization.

ST/US

A

Product Features

The collection chamber should have the 13th chamber or the grey plug located at the top of the probe. This is in alignment with the marker port indicator. This must always be checked at the end of initialization.

ST/US

33
Q

Product Features

How is the revolved fired and what is the firing speed?

ST

A

Product Features

Steps to fire the revolve:

  1. Press the black safety button (only one side is pressed)
  2. Press the fire button
  3. After 1 second delay device will fire

Firing distance 19.3 mm

Firing speed 2.90 m/sec

ST

34
Q

Product Features

Aperture rotation

ST

A

Product Features

Aperture is rotated using the grey knob on the holster. The triangle on the thumbwheel shows the location of the aperture.

ST

35
Q
A