Non-surgical treatment for obesity Coming soon to India

1. Intragastric air balloon for
non surgical treatment
of Obesity
heliosphere
®
DC-064-02.04/11/2008
Procedure of introduction of the intragastric balloon
heliosphere®: Reminder of some important points
This document can not replace the instruction for use : see the latter for more informations.
Step I : Implantation of the intragastric balloon
1/ Visually check with the endoscope.
2/ If no countraindications :
• Cover the balloon with surgical gel (white cover + catheter).
• Introduce the balloon in the mouth of the patient while guiding it with your finger.
• Slowy push the balloon with the catheter with your hand always close to the mouth in
order not to bend the catheter.
3/ In the meantime, introduce the endoscope in order to visually check the progression of the
balloon.
In order to open the balloon you need to be 3 or 4 cm under the cardia.
4/ Cover opening: Cut the blue safety cable.
Slowly pull the Helioscopie label in order to open the cover. Check with
the endoscope that the cover is completely removed.
Step II : Balloon inflation
Step III : Balloon dropping
5/ Remove
the tap.
6/ Connect
the 60 cc
syringe
with the
check valve.
7/ Slowly inflate the
balloon :
BAG
10 syringes of 60 cc.
BAG PreOp
12 syringes of 60 cc.
Warning : do not exceed the number of syringes required.
8/ Once the balloon is fully
inflated, unscrew the
canula in order to retract
the needle, you need to
pull it all the way until you
see a black mark.
9/ Gently pull the catheter
which will drop the
balloon into the stomach.
Visually check with the
endoscope that the balloon
is correctly placed.
3 à 4 cm
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2. Intragastric air balloon
for non surgical treatment
of Obesity
heliosphere
®
Procedure of extraction of the intragastric balloon
heliosphere® : Reminder of some important points
DC-064-02.04/11/2008
This document cannot replace the instruction for use : See the latter for more information.
Position the patient in left lateral decubitus.
Step I : Deflating balloon
1/ Cover the endoscope with a large quantity of surgical gel (white cover + catheter).
2/ Introduce the aspiration needle.
3/ Locate the valve and position the needle catheter as perpendicular as possible to the surface of the
balloon .
Punctures
Puncture the balloon at each pole and all around the «equator», without sucking the air.
Aspiration
1/ Make the last puncture around the black valve and let the needle inside the balloon.
2/ Screw the blue part on the grey part of the needle to be sure it stays inside the balloon.
Connect to the suction hose with the connector.
3/ The aspiration of the balloon must be 5 minutes long at least.
4/ Once the air is sucked, retract the needle inside the catheter.
5/ Remove the needle from the endoscope.
Step II : Balloon catching (take your time in order to be sure that the position of
the grasper is correct).
1/ After having verified its well functionning, insert the grasper into the endoscope.
2/ Chose a crease on the balloon to pull the balloon on its longitudinal axe (as near as possible
to the black valve, open the grasper fully and close it by pushing.
3/ Once the ballon is correctly caught, move the balloon next to the endoscope.
4/ Hold firmly the grasper at the entrance of the channel operator so as to make them move all
together at the same time.
Step III : Extraction of the balloon
Passage of the cardia
Keep a continue traction on the endoscope, being sure that the grasper is always right next to the extremity
of the endoscope; this continue and moderate traction permits to the cardia to be progressively expanded
and to evacuate the residual air in the balloon.
Full extraction
Remove the ballon through the oesophagus, with a constant and moderate traction up to the killian. For
the killian passage, repeat the protocol used for the cardia.
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