CataractCoach 1223: learn how to set up your phaco machine

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The surgeon is the captain of the operating room and must know everything about the case and instrumentation. While we rely on our scrub techs, assistants, and nurses to help during the surgery, the ultimate responsibility lies with the surgeon. One important aspect of this is knowing how to set up the phaco machine for cataract surgery. This is something that the scrub tech does for you on 99% of your cases, but what happens when there is a substitute tech who is not familiar with the machine? What about when you are doing a ruptured globe in the middle of the night and you need to aspirate the lens material from a punctured lens capsule? You must know how to set up your phaco machine!

This video is for the Alcon Centurion phaco machine, but similar steps apply to most other phaco platforms. You should check with your manufacturer to learn the specific instructions for your machines.
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The side stainless bars on the tray are retractable and have the right dimensions to fit the remote in there, any orientation you want. Either left or right side as you look the machine and the remote can be tilted 90degrees.

BeetleJuice
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Your bss bag should be properly cleaned with an alcohol swab prior to spike insertion.

ZoidburgIsGreat
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3:28 If you use a plastic wrench to close it, it may break inside. According to the Japanese Alcon representative, this setting is not recommended. If it breaks inside, it will be difficult to remove the handpiece and a new US handpiece will have to be purchased. Furthermore, in Japan, there have been cases of eye inflammation caused by broken pieces.The alcon said that a metal wrench should always be used.

yuichisan
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Excellent. I am using the same machine.

SarbjitBullepur
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Sir this is centurion gold? Not available In Pakistan

ammar
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Can u help me with best centurion machine settings for vaccum, AFR and ultrasound the machine is new for me after using infinity machine i always feel surge and week vaccum
N.b i am beginner
Thanks in advance

ahmedyehia