GLT-001- The effects of cutting or modifying the MicroShunt have not been evaluated.
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PRECAUTIONS
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- The safety and effectiveness of the use of more than a single PRESERFLO™ MicroShunt has not been established.
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Brugsanvisning (da)INDLEDNING
Produktet PRESERFLO MicroShunt består af PRESERFLO MicroShunt og en 3-20 mm skleralmarkør i rustfrit
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POTENTIAL COMPLICATIONS/ADVERSE EVENTSPRESERFLO™ MicroShunt
Instructions for Use (en)INTRODUCTION
The PRESERFLO MicroShunt product consists of the PRESERFLO MicroShunt and a 3-20mm stainless steel Scleral
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1. Make sure to check the expiration date on packaging
INTENDED USE/ PURPOSE
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Reference dimensions in millimeters.

RECOMMENDED ACCESSORIES (QTY.)
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trained to use the device.
INDICATIONS FOR USE
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STORAGE
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Surgery:
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2. Preparation of PRESERFLO™ MicroShunt:D &DUHIXOO\H[DPLQHWKHSRXFKFRQWDLQLQJWKH35(6(5)/2
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3. Planning of Implant Position:,QVHUWLRQRIWKH0LFUR6KXQWLVDWWKHVXUJHRQ¶VGLVFUHWLRQHLWKHULQWKHVXSHURQDVDORUVXSHURWHPSRUDOTXDGUDQWRIWKHH\HDYRLGLQJWKHUHFWXVPXVFOHV
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Pen - Gentian Violet and mark a point 3mm from the limbus.
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RQWKHH\H VFOHUDOLPEXVFRUQHD ¿OOLQJWKHDQWHULRUFKDPEHUZLWK%66WKURXJKDSDUDFHQWHVLVRUXVLQJD*WKLQZDOOPPEHQWFDQQXODLQMHFW%66LQWRWKHGLVWDOHQGRI0LFUR6KXQWWRSULPHWKHWXEH,IÀRZLVQRWHVWDEOLVKHGUHSRVLWLRQRUUHSODFHWKHGHYLFH
Verify position of the MicroShunt in the anterior chamber angle:,WLVUHFRPPHQGHGWKDWLQWUDRSHUDWLYH
gonioscopy be performed to assess the position of the proximal tip of the MicroShunt in the anterior chamber to ensure
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RIWKHSUR[LPDOHQGRIWKH0LFUR6KXQWLQWKHDQWHULRUFKDPEHUGLVWDOHQGRIWKH0LFUR6KXQWLVVWUDLJKWDQGQRWFDXJKWLQ7HQRQ¶VFDSVXOH3XOOFRUQHDOWUDFWLRQVXWXUHRXWLILWZDVXVHG$SSO\DQWLELRWLFDQGVWHURLGDOPHGLFDWLRQSRVWRSHUDWLYHO\DVDSSURSULDWH
$IWHUXVHGLVSRVHRISURGXFWDQGSDFNDJLQJLQDFFRUGDQFHZLWKKRVSLWDODGPLQLVWUDWLYHDQGRUORFDOJRYHUQPHQWSROLF\)ROORZWKH00&LQVWUXFWLRQVIRUXVHIRUSURSHUGLVSRVDORIWKH00&
Post operatively: 0RQLWRUWKHLQWUDRFXODUSUHVVXUHDWHDFKIROORZXSWRGHWHUPLQHLIWKH0LFUR6KXQWLVSDWHQW ,IWKH0LFUR6KXQWLVUHSRVLWLRQHGUHPRYHGDQGRUUHSODFHGZLWKDQRWKHUW\SHRIGHYLFHEDVHGRQWKHGHYLFHSHUIRUPDQFHWKHFRQMXQFWLYDVKRXOGEHFXWDWWKHOLPEXVLQDVLPLODUPDQQHUWRWKHRULJLQDOSURFHGXUH7KHGHYLFHVKRXOGEHH[SRVHGDQGWKHUHSRVLWLRQLQJRUUHPRYDOFRQGXFWHG,IWKHGHYLFHLVUHPRYHGYHULI\WKDWWKHUHLVQRDTXHRXVOHDNDJHIURPWKHWUDFN,IWKHUHLVXVHDVXWXUHWKHWUDFNWRVHDOLW&RQMXQFWLYDOFORVXUHVKRXOGIROORZthe original procedure.

Referencedimensioner i millimeter.

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INDIKATIONER FOR BRUG
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myndigheders krav.
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FORHOLDSREGLER- Sikkerheden og effektiviteten af MicroShunt er ikke fastlagt hos patienter med følgende omstændigheder eller
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farmakologisk udvidelse af pupillen hos disse patienter kan få iris til at blokere MicroShunt. For disse patienter
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Kirurgi:
1. Anæstesi:7\SHQDIDQ VWHVLGHUVNDODGPLQLVWUHUHVXQGHULQGJUHEHWY OJHVDINLUXUJHQ
2. Klargøring af PRESERFLO™ MicroShunt: D 8QGHUV¡JIRUVLJWLJWSRVHQPHG35(6(5)/20LFUR6KXQW+YLV
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3. Planlægning af implantatets position:,QGI¡ULQJDI0LFUR6KXQWVNHUHIWHUNLUXUJHQVVN¡QHQWHQL¡MHWVVXSHURQDVDOHHOOHUVXSHURWHPSRUDOHNYDGUDQWRJKYRUUHFWXVPXVNOHUQHXQGJnV
4. &RUQHDOWUDNWLRQRJNRQMXQNWLYDO7HQRQVÀDS8GI¡UFRUQHDOWUDNWLRQPHGVXWXUHIWHUNLUXUJHQVVN¡Q,GHW
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markeringspennen – krystalviolet – og marker et punkt 3 mm fra limbus.
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). PHGDGJDQJOLJHRYHULULVSODQHW SnQLYHDXPHGGHWWUDEHNXO UHQHW 6RPHNVWHUQYHMOHGQLQJJnVGHULQGL).
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E9HGEUXJDI1,0 mm kniv med spaltevinkel2SUHWYHGGHWPDUNHUHGHSXQNWHQODYPPODQJVNOHUDOORPPHKYRU¿QQHGHOHQDI0LFUR6KXQWEXNNHVLQG,QGI¡UHQ*QnOLGHQVNOHUDOHORPPHRJRSUHWHQVNOHUDOWXQQHOLQG
L).KYRUGHUJnVLQGOLJHRYHULULVSODQHW SnQLYHDXPHGGHWWUDEHNXO UHQHW 6RPHNVWHUQYHMOHGQLQJJnVGHULQG
L).OLJHXQGHUGHQPHOOHPVWHDIJU QVQLQJDINLUXUJLVNHOLPEXV SRVWHULRUHDIJU QVQLQJLGHQEOnJUn]RQHGHU
LQWHUQWE¡UOLJJHRYHU6FKZDOEHVOLQMH KYLVWLOVWHGH
Indføring af MicroShunt i forkammeret: Brug en pincet uden takker, anbring MicroShunt-røret med skråkanten
YHQGWPRGFRUQHDW WYHGGHQVNOHUDOHORPPHWXQQHOPHQV¿QQHQVIRUVLGHKROGHVSDUDOOHOWPHGGHQVNOHUDOH
RYHUÀDGH,QGI¡UIRUVLJWLJW0LFUR6KXQWLGHQVNOHUDOHORPPHWXQQHOLQGWLO¿QQHQHUEXNNHWLQGXQGHUGHQVNOHUDOH
ORPPH+YLVGHUDQYHQGHVIRUVWRUNUDIWYLOGHWPHGI¡UHDW0LFUR6KXQWE¡MHVPLGOHUWLGLJWVnGHQEOLYHUYDQVNHOLJHUH
DWLQGI¡UH+YLVGHULNNHNDQVNDIIHVDGJDQJNDQGHUODYHVHQ\GHUOLJHUHVNOHUDOORPPHWXQQHOFDPPWLOHQDIVLGHUQHXGIUDGHQRSULQGHOLJHNDQDO+YLV0LFUR6KXQWEHVNDGLJHVXQGHULQGJUHEHWVNDOGHUEUXJHVHQQ\0LFUR6KXQW
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LIRUNDPPHUHWLNNHEHU¡UHUFRUQHDHOOHULULVVDPWDWGHUHUYDQGJHQQHPVWU¡PQLQJIUDGHQGLVWDOHHQGH%XNGHUHIWHU
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GHQVLGGHUOLJHRJLNNHK QJHUIDVWL7HQRQVNDSVHO+YLVGHULNNHVHVJHQQHPVWU¡PQLQJVNDOHQHOOHUÀHUHDII¡OJHQGH
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GHULNNHRSUHWWHVJHQQHPVWU¡PQLQJVNDODQRUGQLQJHQÀ\WWHVHOOHUXGVNLIWHVBekræft positionen af MicroShunt i forkammervinklen:'HWDQEHIDOHVDWXGI¡UHLQWUDRSHUDWLYJRQLRVNRSLIRUDWYXUGHUHSRVLWLRQHQDIGHQSURNVLPDOHVSLGVDI0LFUR6KXQWLIRUNDPPHUHWIRUDWVLNUHDWGHUHUWLOVWU NNHOLJDIVWDQGWLO
cornea og iris.
Konjunktival lukning: *HQSODFpU7HQRQVNDSVHORJFRQMXQFWLYDWLOOLPEXVRJVXWXUpUPHGVXWXUHUPHGODQJGRNXPHQWHUHWYHOO\NNHWEUXJDIJODXNRPVSHFLDOLVWHU GYVQ\ORQYLFU\O $QYHQGHQIXJWHWÀXRUHVFHLQVWULPPHOWLODWNRQWUROOHUHIRUNRQMXQNWLYDOO NDJHVRPNDQOXNNHVPHG\GHUOLJHUHVXWXUHU%HNU IWI¡OJHQGH7LOVWHGHY UHOVHDIGHQSURNVLPDOHHQGHDI0LFUR6KXQWLIRUNDPPHUHWDWGHQGLVWDOHHQGHDI0LFUR6KXQWHUOLJHRJLNNHK QJHUIDVWL7HQRQVNDSVHO7U NGHQFRUQHDOHWUDNWLRQVVXWXUXGKYLVGHQEOHYDQYHQGW$SSOLFpUDQWLELRWLNDRJVWHURLGVDOYHSRVWRSHUDWLYW
efter behov.
3URGXNWHWRJHPEDOODJHQVNDOERUWVNDIIHVHIWHUEUXJLKHQKROGWLOKRVSLWDOHWVDGPLQLVWUDWLYHRJHOOHUORNDOHP\QGLJKHGHUVNUDY)¡OJ00&YHMOHGQLQJHUQHIRUNRUUHNWERUWVNDIIHOVHDI00&
Postoperativt: 0RQLWRUpUGHWLQWUDRNXO UHWU\NYHGKYHURSI¡OJQLQJIRUDWDIJ¡UHRP0LFUR6KXQWHUnEHQ +YLV0LFUR6KXQWUHSRVLWLRQHUHVIMHUQHVRJHOOHUXGVNLIWHVPHGHQDQGHQW\SHDQRUGQLQJSnJUXQGDIDQRUGQLQJHQV
\GHHYQHVNDOFRQMXQFWLYDVN UHVYHGOLPEXVSnOLJQHQGHPnGHVRPXQGHUGHWRSULQGHOLJHLQGJUHE$QRUGQLQJHQVNDOIULWO JJHVRJUHSRVLWLRQHULQJHOOHUIMHUQHOVHXGI¡UHV+YLVDQRUGQLQJHQIMHUQHVVNDOGHWEHNU IWHVDWGHULNNH
O NNHUYDQGIUDVSRUHW+YLVGHUJ¡UVNDOVSRUHWV\HVIRUDWOXNNHGHW.RQMXQNWLYDOOXNQLQJVNDOXGI¡UHVLKHQKROGtil det oprindelige indgreb.
PRESERFLO™ MicroShunt
Gebruiksaanwijzing (nl)INLEIDING+HW35(6(5)/20LFUR6KXQWSURGXFWEHVWDDWXLWGH35(6(5)/20LFUR6KXQWHQHHQURHVWYDVWVWDOHQVFOHUDOHPDUNHUYDQ±PP'H0LFUR6KXQWLVHHQLPSODQWHHUEDUHJODXFRRPGUDLQJHPDDNWYDQH[WUHHPÀH[LEHO6,%6SRO\PHHU>SRO\ 6W\UHQHEORFN,VR%XW\OHQHEORFN6W\UHQH @PHWHHQEXLVMHPHWHHQEXLWHQGLDPHWHUYDQPHQHHQOXPHQ
YDQP+HWKXOSPLGGHOKHHIWGULHKRHNLJHYLQQHQRPPLJUDWLHYDQGHEXLVLQGH$&WHYRRUNRPHQ+HWLVRQWZRUSHQYRRULPSODQWDWLHRQGHUGHVXEFRQMXQFWLYDOHUXLPWHWHQRQUXLPWH
 &RQWUROHHUGHYHUYDOGDWXPRSGHYHUSDNNLQJBEOOGD GEBRUIK/DOEL'H35(6(5)/20LFUR6KXQWPDDNWJHEUXLNYDQHHQEXLVMHGDWHHQNDQDDOYRUPWYRRUGHVWURPLQJYDQKHWJODVYRFKWXLWGHYRRUVWHRRJNDPHUQDDUHHQEOHEGLHLVJHYRUPGRQGHUKHWELQGYOLHVHQGHYDJLQDEXOEL+HWYRRUVWHSUR[LPDOHXLWHLQGHYDQKHWEXLVMHVWHHNWXLWLQGHYRRUVWHRRJNDPHUHQKHWDFKWHUVWHGLVWDOHXLWHLQGHHLQGLJWLQGHEOHE'H
35(6(5)/20LFUR6KXQWYHUODDJWGH,2'GRRUJODVYRFKWI\VLHNYDQXLWGHYRRUVWHRRJNDPHUPHWKRJHGUXNQDDUGHbleb met lage druk te leiden.
INHOUD PRESERFLO™ MicroShunt (AANT.)
&DVXVUDSSRUWODEHOV 

3DWLsQWNDDUW 

0LFUR6KXQW 

6FOHUDPDUNHUYDQPP 

Referentieafmetingen in millimeter.

AANBEVOLEN ACCESSOIRES (AANT.)'HYRRUGH35(6(5)/20LFUR6KXQWDDQEHYROHQDFFHVVRLUHVYRRUFKLUXUJLVFKHYHUULFKWLQJHQ]LMQDIKDQNHOLMNYDQGHFRQ¿JXUDWLH
0DUNHHUSHQ±*HQWLDDQYLROHW 
&DQXOHYRRUDQWHULHXUHNDPHU*PPERFKW 0$1,RIWDOPLVFKPHVMHVOLWDQJOHGPP  RIRIWDOPLVFKPHVMHWZHHWUDSVJHKRHNWPP 
6SRQVMHV  HQ
6FOHUD7UDFNQDDOGJ[ *QDDOG  
BEOOGDE GEBRUIKERS'HEHRRJGHJHEUXLNHUVYDQGH35(6(5)/20LFUR6KXQW]LMQRRJDUWVHQRRJFKLUXUJHQGLHJHVSHFLDOLVHHUG]LMQLQGHEHKDQGHOLQJYDQJODXFRRP LQFOXVLHIFKLUXUJHQGLHJHVSHFLDOLVHHUG]LMQLQRSHUDWLHVDDQGHYRRU]LMGHYDQGHRRJEROHQVWDDURSHUDWLHV GLHRSJHOHLG]LMQRPKHWLQVWUXPHQWWHJHEUXLNHQINDICATIES VOOR GEBRUIK'H0LFUR6KXQWLVEHGRHOGYRRUKHWYHUODJHQYDQGHLQWUDRFXODLUHGUXNLQGHRJHQYDQSDWLsQWHQPHWSULPDLURSHQKRHNJODXFRRPZDDULQGH,23QLHWRQGHUFRQWUROHNDQZRUGHQJHEUDFKWPHWGHPD[LPDDOYHUGUDDJEDUHPHGLVFKHEHKDQGHOLQJHQRIZDDULQSURJUHVVLHIJODXFRRPHHQFKLUXUJLVFKHLQJUHHSYHUHLVWBEOOGDE PATIËNTEN/DOELGROEPEN'HEHRRJGHSDWLsQWHQSRSXODWLHEHWUHIWYROZDVVHQSDWLsQWHQPHWSULPDLURSHQNDPHUKRHNJODXFRRPHQRQEHKHHUVEDUH
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RSHUDWLHZHQVHOLMNPDDNWCONTRA-INDICATIES'HLPSODQWDWLHYDQGH0LFUR6KXQWLVJHFRQWUDLQGLFHHUGELMGHYROJHQGHRPVWDQGLJKHGHQHQDDQGRHQLQJHQ
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.(5$7,7,689(Í7,6 */$692&+7,1'(922567(22*.$0(5$$1:(=,*+(,'9$1((1,175$2&8/$,5(/(16,1'(922567(22*.$0(5 $&,2/ ,175$2&8/$,5(6,/,&21(12/,(WAARSCHUWINGEN
8LWVOXLWHQGRSUHFHSW'LWKXOSPLGGHOPDJDOOHHQZRUGHQYHUNRFKWGRRURILQRSGUDFKWYDQHHQDUWV8LWVOXLWHQGYRRUHHQPDOLJJHEUXLN1LHWKHUJHEUXLNHQRIKHUVWHULOLVHUHQ'RRUKHUJHEUXLNRIKHUVWHULOLVDWLHNDQGHVWUXFWXUHOHLQWHJULWHLWYDQKHWKXOSPLGGHOZRUGHQDDQJHWDVWHQRINDQKHWKXOSPLGGHOGHIHFWUDNHQZDWWRWHUQVWLJOHWVHOELMGHSDWLsQW]LHNWHEOLQGKHLGRIRYHUOLMGHQNDQOHLGHQ+HUJHEUXLNRIKHUVWHULOLVDWLHNDQRRNHHQULVLFRRSOHYHUHQYRRUEHVPHWWLQJYDQKHWKXOSPLGGHOHQRILQIHFWLHVELMGHSDWLsQWRINUXLVEHVPHWWLQJYHURRU]DNHQZDDURQGHURQGHUPHHUGHRYHUGUDFKWYDQLQIHFWLH]LHNWH Q WXVVHQSDWLsQWHQ%HVPHWWLQJYDQKHWKXOSPLGGHONDQOHLGHQWRWOHWVHO]LHNWHEOLQGKHLG
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lokale overheid.
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+HWHIIHFWYDQKHWELMVQLMGHQRIDDQSDVVHQYDQGH0LFUR6KXQWLVQLHWJHsYDOXHHUG
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EHKDQGHOLQJHQQLHWZHUNHQNDQKHWJHEUXLNYDQK\GUR[\SURS\OPHWK\OFHOOXORVH +30& HFKWHUHHQRSWLH]LMQ+HW
JHEUXLNYDQ+30&PRHWHHQODDWVWHUHGPLGGHO]LMQRPHHQSODWWHNDPHUPHWGH0LFUR6KXQWWHFRUULJHUHQHQNDQ
JHGXUHQGHppQRIPHHUGHUHZHNHQQDJHEUXLNOHLGHQWRWKHWYHUOLHVYDQVWURPLQJGRRUKHWKXOSPLGGHOZDDUGRRUHHQQDXZNHXULJHRIIUHTXHQWHUREVHUYDWLHYDQGH,23QRRG]DNHOLMNLVVOORZORGSMAATREGELEN
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RIDDQGRHQLQJHQż Ogen met chronische ontsteking
ż Ogen met congenitaal of infantiel glaucoomż Ogen met neovasculair glaucoomż Ogen met uveïtair glaucoomż Ogen met pseudo-exfoliatief of pigmentair glaucoomż Ogen met andere vorm van secundair openkamerhoekglaucoomż Ogen die eerdere glaucoomoperaties of cilioablatieve ingrepen hebben ondergaanż ,PSODQWDWLHPHWJHOLMNWLMGLJHFDWDUDFWRSHUDWLHPHW,2/LPSODQWDWLH
9HUPLMGKHWJHEUXLNYDQHHQJHWDQGSLQFHWRPKHWKXOSPLGGHOYDVWWHSDNNHQ(HQSLQFHWYDQKHWW\SH0F3KHUVRQZRUGWDDQEHYROHQ'H,23YDQGHSDWLsQWGLHQWQDGHRSHUDWLHWHZRUGHQJHFRQWUROHHUG$OVGH,23QDGHRSHUDWLHQLHWJRHGEOLMIWJHKDQGKDDIGGLHQWJHVFKLNWHELMNRPHQGHWKHUDSLHWHZRUGHQRYHUZRJHQRPGH,23LQVWDQGWHKRXGHQ'HYHLOLJKHLGHQHIIHFWLYLWHLWYDQKHWJHEUXLNYDQPHHUGDQppQ35(6(5)/20LFUR6KXQWLVQLHWYDVWJHVWHOG
*HEUXLNGH0LFUR6KXQWQLHWDOVGH]HPLVYRUPGJHYRXZHQHQRIYHUYRUPGOLMNW
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3URJUHVVLHIJODXFRRPGDWQLHWRQGHUFRQWUROHLVWRHQDPHLQFXSWRGLVFYHUKRXGLQJ &' FRPSOLFDWLHVLQYHUEDQG
PHWGHDQHVWKHVLHPRHLOLMNLQEUHQJHQYDQGH0LFUR6KXQWPLVOXNWHLPSODQWDWLHYDQKHWKXOSPLGGHOYHUNHHUGHZHUNLQJ
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gonioscopie uit te voeren om de positie van het proximale uiteinde van de MicroShunt in de voorste oogkamer te
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instructions d’utilisation (fr)
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1. Monitorare la pressione intraoculare a ogni visita di controllo per accertare che il dispositivo MicroShunt sia pervio.
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procedura originale.
PRESERFLO™ MicroShunt
Bruksanvisning (no)INNLEDNING
Produktet PRESERFLO™ MicroShunt inneholder PRESERFLO MicroShunt og en 3-20 mm Scleral Markør i rustfritt
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PRESERFLO MicroShunt anvender et rør for å skape en kanal for strømmen av kammervann fra det fremre¡\HNDPPHUHWWLOHQEOHPPHVRPGDQQHVXQGHUNRQMXQWLYDRJWHQRQVNDSVHOGHQIUHPUHSURNVLPDOHHQGHQDYU¡UHWVWUHNNHUVHJLQQLGHWIUHPUHNDPPHUHWPHQVGHQEDNUHGLVWDOHHQGHQHQGHULEOHPPHQ35(6(5)/20LFUR6KXQWUHGXVHUHU,23YHGnI\VLVNVKXQWHYDQQIUDGHWIUHPUHK¡\WU\NNVNDPPHUHWWLOGHQQHGUHWU\NNEOHPPHQPRESERFLO™ MicroShunt INNHOLD (ANT.)
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Referansemål i millimeter.

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INDIKASJONER FOR BRUK
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TILTENKTE PASIENTER/MÅLGRUPPER
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pasienten.
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OPPBEVARING
2SSEHYDUHVYHGUHJXOHUWURPWHPSHUDWXU & 8QQJnVWHUNYDUPHK¡\OXIWIXNWLJKHWGLUHNWHVROO\VRJYDQQBRUKSANVISNING%UXNHUHQVNDOKDJRGRSSO ULQJLEUXNHQDYHQKHWHQI¡UDQYHQGHOVH
Kirurgisk inngrep:
1. Anestesi:.LUXUJHQDYJM¡UKYDVODJVDQHVWHVLVRPVNDODGPLQLVWUHUHVXQGHULQQJUHSHW

2. Klargjøre PRESERFLO™ MicroShunt: D ,QVSLVHUSRVHQPHG35(6(5)/20LFUR6KXQWQ¡\H%UXNLNNHHQKHWHQKYLVSRVHQHUVNDGHWE 7D35(6(5)/20LFUR6KXQWXWDYGHQVWHULOHSDNQLQJHQRJOHJJGHQLGHWVWHULOH
IHOWHWF )XNW0LFUR6KXQWPHGEDODQVHUWVDOWO¡VQLQJ %66 
3. Planlegge implantatets posisjon:.LUXUJHQDYJM¡UKYRUGDQ0LFUR6KXQWVNDOVHWWHVLQQL¡\HWVVXSHULRQDVDOHHOOHU
superiotemporale kvadrant utenom de rette øyemusklene.
4. Traksjonssutur i hornhinnen og lapp i bindehinnen / under Tenons kapsel:/DJHQWUDNVMRQVVXWXULKRUQKLQQHQ
PHGVXWXUEDVHUWSnNLUXUJHQVVNM¡QQ,GHWSODQODJWHRSHUDVMRQVRPUnGHWVNDOGXODJHHQ±PPSHULWRPLLQFLVMRQRJGHUHWWHUGLVVHNHUHHQORPPHVXENRQMXQNWLYDOWRJXQGHU7HQRQVNDSVHO IRUQL[EDVHUW RYHUHQRPNUHWVSn±IUDQ UOLPEXVWLOHQG\EGHSnPLQVWPP3nVHDWGHWLNNH¿QQHVDNWLYEO¡GQLQJLRPUnGHWIRUGHWSODQODJWH
LQQJDQJVVWHGHWIRU0LFUR6KXQW8QQJnP\HNDXWHULVHULQJVRPNDQJL¡NWULVLNRIRUDUUGDQQHOVH
Tilføre MMC: 7LOI¡U±HWWHUDQYLVQLQJIUDNLUXUJHQ±VYDPSHUVRPHUIXNWHWPHG00&SnVNOHUDXQGHUGHQVXENRQMXQNWLYDOHORPPHQORPPHQXQGHU7HQRQVNDSVHORJSnVHDWGHLNNHEHU¡UHUVnUNDQWHQLELQGHKLQQHQ)MHUQVYDPSHQHRJVN\OOPHGULNHOLJHPHQJGHU%66 !PO 
Klargjøre inngangsstedet i forkammeret:)DUJGHQ±PP VNOHUD PDUN¡UHQPHGPHUNHSHQQHQLNU\VWDOO¿ROHWW
og merk et punkt 3 mm fra limbus.
D9HGEUXNDY1,0 mm dobbel vinklet skalpell/DJHQNDQDOLVNOHUDLQQWLOIRUNDPPHUHWSnGHWPHUNHGHSXQNWHWPHGLQQJDQJOLNHRYHULULVSODQHW SnQLYnPHGWUDEHNHOYHUNHW 6RPYHLOHGQLQJHNVWHUQWVNDOLQQJDQJHQWLO
IRUNDPPHUHWY UHOLNHQHGHQIRUPLGWUHUDQGLNLUXJLVNOLPEXV SRVWHULRUHUDQGLGHQEOnJUnVRQHQVRPLQWHUQWVNDOOLJJHRYHU6FKZDOEHVOLQMH KYLVDNWXHOW.DQDOHQLVNOHUDHUIXOOI¡UWQnUHQPPODQJORPPHLVNOHUDHUODJHWLGHQGLVWDOHHQGHQDYNDQDOHQGHU¿QQHGHOHQDY0LFUR6KXQWVNDOOLJJH
E9HGEUXNDY1,0 mm vinklet skalpell3nGHWPHUNHGHSXQNWHWODJHUGXHQJUXQQPPODQJORPPHLVNOHUD
GHU¿QQHGHOHQDY0LFUR6KXQWVNDOOLJJH)¡UHQ*QnOLQQLORPPHQLVNOHUDRJODJHQNDQDOLVNOHUDLQQWLO
IRUNDPPHUHW±LQQJDQJHQVNDOY UHOLNHRYHULULVSODQHW SnQLYnPHGWUDEHNHOYHUNHW 6RPYHLOHGQLQJHNVWHUQWVNDOLQQJDQJHQWLOIRUNDPPHUHWY UHOLNHQHGHQIRUPLGWUHUDQGLNLUXJLVNOLPEXV SRVWHULRUHUDQGLGHQEOnJUnVRQHQ
VRPLQWHUQWVNDOOLJJHRYHU6FKZDOEHVOLQMH KYLVDNWXHOWFøre MicroShunt inn i forkammeret: Bruk en utannet øyepinsett WLOnSRVLVMRQHUH0LFUR6KXQWVODQJHQPHG
VNUnNDQWHQYHQGWPRWKRUQKLQQHQQ UORPPHQNDQDOHQLVNOHUDVDPWLGLJVRPGXKROGHU¿QQHQVIRUVLGHSDUDOOHOOPHG
VNOHUDVRYHUÀDWH)¡U0LFUR6KXQWIRUVLNWLJLQQLORPPHQNDQDOHQLVNOHUDWLO¿QQHQOLJJHUXQGHUORPPHQLVNOHUD+YLVGXEUXNHUIRUVWRUNUDIWYLO0LFUR6KXQWE¡\HVHJPLGOHUWLGLJRJGHWEOLUYDQVNHOLJHUHnNRPPHLQQ+YLVGXLNNHNRPPHU
LQQNDQGXODJHHQQ\ORPPHNDQDOLVNOHUDFLUNDPPWLOHQDYVLGHQHIRUGHQRSSULQQHOLJHNDQDOHQ+YLV0LFUR6KXQW
EOLUVNDGHWXQGHULQQJUHSHWVNDOGXEUXNHHQQ\0LFUR6KXQWRJHQQ\ORPPHNDQDOLVNOHUD1nU0LFUR6KXQWHUVDWWLQQ
VNDOGXNRQWUROOHUHDWGHQSURNVLPDOHHQGHQDYVODQJHQLIRUNDPPHUHWLNNHEHU¡UHUKRUQKLQQHQHOOHULULVRJDWGHWÀ\WHU
NDPPHUYDQQIUDGHQGLVWDOHHQGHQ/HJJGHUHWWHUHQGHQDY0LFUR6KXQWVODQJHQXQGHUODSSHQLELQGHKLQQHQXQGHU
7HQRQVNDSVHOSnVNOHUDVRYHUÀDWHRJSnVHDWGHQHUUHWWRJLNNHVLWWHUIDVWL7HQRQVNDSVHO+YLVGHWLNNHÀ\WHU
NDPPHUYDQQVNDOGXYXUGHUHpQHOOHUÀHUHDYI¡OJHQGHKDQGOLQJHUOHJJHVYDNWSUHVVSn¡\HW VNOHUDOLPEXVKRUQKLQQH I\OOHIRUNDPPHUHWPHG%66YHGSDUDFHQWHVHHOOHULQMLVHUH%66LQQLGHQGLVWDOHHQGHQDY0LFUR6KXQWYHG
KMHOSDYHQ*PPW\QQYHJJHWE¡\GNDQ\OHIRUnI\OOHVODQJHQ+YLVÀ\WLNNHHWDEOHUHVVNDOHQKHWHQÀ\WWHVHOOHU
skiftes ut.
Bekrefte posisjonen til MicroShunt i forkammervinkelen: Gonioskopi bør brukes peroperativt for å vurdere
SRVLVMRQHQWLOGHQSURNVLPDOHVSLVVHQSn0LFUR6KXQWLIRUNDPPHUHWIRUnSnVHDWGHWHUQRNNODULQJWLOKRUQKLQQHQ
eller iris.
Lukke bindehinnen: 3RVLVMRQHU7HQRQVNDSVHORJELQGHKLQQHQPRWOLPEXVLJMHQRJVXWXUHUPHGVXWXUVRPHUYHOXWSU¡YGRJDQHUNMHQWDYJODXNRPVSHVLDOLVWHU IHNVQ\ORQYLFU\O (QVWULPPHOIXNWHWPHGÀXRUHVFHLQEUXNHVWLO
nVMHNNHRPELQGHKLQQHQOHNNHU±OXNNLVnIDOOPHGÀHUHVXWXUHU.RQWUROOHUI¡OJHQGHDWGHQSURNVLPDOHHQGHQDY
0LFUR6KXQWEH¿QQHUVHJLIRUNDPPHUHWRJDWGHQGLVWDOHHQGHQDY0LFUR6KXQWHUUHWWRJLNNHVLWWHUIDVWL7HQRQVNDSVHO7UHNNXWHQHYHQWXHOOWUDNVMRQVVXWXULKRUQKLQQHQ7LOI¡UDQWLELRWLNDRJVWHURLGHUSRVWRSHUDWLYWHWWHUEHKRY(WWHUEUXNVNDOSURGXNWHWRJSDNQLQJHQNDVWHVLVDPVYDUPHGV\NHKXVHWVDGPLQLVWUDWLYHRJHOOHUORNDOHUHWQLQJVOLQMHU)¡OJDQYLVQLQJHQHIRU00&QnUGHWJMHOGHUULNWLJNDVWLQJDY00&
Postoperativt:
1. Overvåk det intraokulære trykket ved hver oppfølging for å fastslå om MicroShunt er åpen.
 +YLV0LFUR6KXQWVNDOÀ\WWHVIMHUQHVRJHOOHUVNLIWHVXWPHGHQDQQHQW\SHHQKHWSnJUXQQODJDYHQKHWHQV\WHOVH
skal det legges et snitt i bindehinnen ved limbus på samme måte som under det opprinnelige inngrepet. Enheten
VNDOEORWWOHJJHVRJGHUHWWHUÀ\WWHVHOOHUIMHUQHV+YLVHQKHWHQIMHUQHVVNDOGXNRQWUROOHUHDWGHWLNNHOHNNHU
NDPPHUYDQQIUDNDQDOHQ+YLVGHWHUGHWVXWXUHUVSRUHWIRUnIRUVHJOHGHW%LQGHKLQQHQVNDOOXNNHVSnVDPPH
måte som under det opprinnelige inngrepet.

PRESERFLO™ MicroShunt
Instruções de utilização (pt)
INTRODUÇÃO
2SURGXWR35(6(5)/20LFUR6KXQWpFRPSRVWRSHOR35(6(5)/20LFUR6KXQWHSRUXPPDUFDGRUHVFOHUDOHP
DoRLQR[LGiYHOGHDPP20LFUR6KXQWpXPGLVSRVLWLYRGHGUHQDJHPLPSODQWiYHOSDUDJODXFRPDIDEULFDGRHP
SROtPHUR6(%6>EORFRVGHSROL HVWLUHQRHWLOHQREXWLOHQRHVWLUHQR @H[WUHPDPHQWHIOH[tYHOFRPXPWXERGHGLkPHWUR
H[WHUQRGHPHXPO~PHQGHP'LVS}HGHSHTXHQDVVDOLrQFLDVWULDQJXODUHVTXHLPSHGHPDPLJUDomRGR
WXERSDUDDFkPDUDDQWHULRU2GLVSRVLWLYRIRLFRQFHELGRSDUDVHULPSODQWDGRVRERHVSDoRVXEFRQMXQWLYDO7HQRQ &HUWLILTXHVHGHTXHYHULILFDDGDWDGHYDOLGDGHQDHPEDODJHPUSO A QUE SE DESTINA/PROPÓSITO
235(6(5)/20LFUR6KXQWXVDXPWXERSDUDFULDUXPFDQDOGHSDVVDJHPGRIOX[RGHKXPRUDTXRVRGDFkPDUDDQWHULRUGRROKRSDUDXPDEROKDTXHVHIRUPDGHEDL[RGDFRQMXQWLYDHGDFiSVXODGH7HQRQDH[WUHPLGDGHIURQWDOSUR[LPDOGRWXERHVWHQGHVHDWpjFkPDUDDQWHULRUHQTXDQWRDH[WUHPLGDGHSRVWHULRUGLVWDOWHUPLQDQDEROKD2
35(6(5)/20LFUR6KXQWUHGX]DSUHVVmRLQWUDRFXODU 3,2 DRGHVYLDUILVLFDPHQWHKXPRUDTXRVRGDFkPDUDDQWHULRU
GHDOWDSUHVVmRSDUDDEROKDGHEDL[DSUHVVmRCONTEÚDO DO PRESERFLO™ MicroShunt (QTD.)
(WLTXHWDVGHUHODWyULRVGHFDVRV 

&DUWmRGRSDFLHQWH 

0LFUR6KXQW 

0DUFDGRUHVFOHUDOGHPP 'LPHQV}HVGHUHIHUrQFLDHPPLOtPHWURVACESSÓRIOS RECOMENDADOS (QTD.)
2VDFHVVyULRVGR35(6(5)/20LFUR6KXQWUHFRPHQGDGRVSDUDSURFHGLPHQWRVFLU~UJLFRVGHSHQGHQGRGDFRQILJXUDomRVmR
&DQHWDPDUFDGRUD±9LROHWDGHJHQFLDQD 
&kQXODFXUYDFRPPPGHFDOLEUH*GDFkPDUDDQWHULRU 
%LVWXULGHFRUWHHPkQJXORGHPPSDUDELVWXULRIWiOPLFR0$1,  RXELVWXULGHFRUWHHPkQJXORGXSORGHPP
SDUDELVWXULRIWiOPLFR (VSRQMDV  H
$JXOKDFRPVXOFRHVFOHUDOGHFDOLEUH*[ $JXOKDGHFDOLEUH*  
UTILIZADORES A QUE SE DESTINA
235(6(5)/20LFUR6KXQWGHVWLQDVHDXWLOL]DGRUHVFRPRRIWDOPRORJLVWDVFLUXUJL}HVRIWDOPRORJLVWDVHVSHFLDOL]DGRVQRWUDWDPHQWRGRJODXFRPD LQFOXLQGRFLUXUJL}HVHVSHFLDOL]DGRVQRVHJPHQWRDQWHULRUHQDFLUXUJLDGHFDWDUDWD HTXH
UHFHEHUDPIRUPDomRSDUDXWLOL]DURGLVSRVLWLYRINDICAÇÕES DE UTILIZAÇÃO
20LFUR6KXQWGHVWLQDVHjUHGXomRGDSUHVVmRLQWUDRFXODU 3,2 QRVROKRVGRVSDFLHQWHVHPFDVRVGHJODXFRPD
SULPiULRGHkQJXORDEHUWRHPTXHD3,2QmRpFRQWURODGDFRPXPDWHUDSrXWLFDPpGLFDGHWROHUkQFLDPi[LPDHRX
RQGHDSURJUHVVmRGRJODXFRPDMXVWLILFDXPDLQWHUYHQomRFLU~UJLFDPACIENTE A QUE SE DESTINA/GRUPOS ALVO$SRSXODomRGHSDFLHQWHVDOYRpFRPSRVWDSRUSDFLHQWHVDGXOWRVFRPJODXFRPDSULPiULRGHkQJXORDEHUWRHPTXHD
3,2SHUPDQHFHGHVFRQWURODGDHPUHJLPHGHWHUDSLDPpGLFDPi[LPDWROHUiYHOHRXQRVFDVRVHPTXHDSURJUHVVmR
GRJODXFRPDMXVWLILFDFLUXUJLDCONTRAINDICAÇÕES$LPSODQWDomR0LFUR6KXQWpFRQWUDLQGLFDGDQDVVHJXLQWHVFLUFXQVWkQFLDVHFRQGLo}HV
*/$8&20$'(Æ1*8/2)(&+$'235(6(1d$'(&,&$75,=$d­2'$&21-817,9$&,585*,$2)7È/0,&$
,1&,6,21$/$17(5,25(192/9(1'2$&21-817,9$282875$63$72/2*,$6'$&21-817,9$ 325(;
&21-817,9$),1$37(5<*,80 1248$'5$17($/921(29$6&8/$5,=$d­2$7,9$'$Ë5,6,1)/$0$d­2
$7,9$ 325(;%/()$5,7(&21-817,9,7((6&/(5,7(48(5$7,7(89(Ë7( 9Ë75(21$&Æ0$5$
$17(5,2535(6(1d$'(80$/(17(,175$2&8/$5'(&Æ0$5$$17(5,25 /,2&$ Ï/(2'(6,/,&21(,175$2&8/$5
ADVERTÊNCIAS
$SHQDVPHGLDQWHUHFHLWDPpGLFDDYHQGDGHVWHGLVSRVLWLYRHVWiOLPLWDGDDPpGLFRVRXSRURUGHPGHXPPpGLFR$SHQDVSDUDXPD~QLFDXWLOL]DomR1mRUHXWLOL]DUQHPUHHVWHULOL]DU$UHXWLOL]DomRRXDUHHVWHULOL]DomRSRGHPFRPSURPHWHUDLQWHJULGDGHHVWUXWXUDOGRGLVSRVLWLYRHRXSURYRFDUIDOKDVTXHSRUVXDYH]SRGHPFDXVDUOHV}HVJUDYHVGRHQoDVFHJXHLUDRXDPRUWHGRSDFLHQWH$UHXWLOL]DomRRXDUHHVWHULOL]DomRWDPEpPSRGHFULDURULVFR
GHFRQWDPLQDomRGRGLVSRVLWLYRHRXFDXVDULQIHomRRXLQIHomRFUX]DGDQRSDFLHQWHLQFOXLQGRHQWUHRXWUDVDWUDQVPLVVmRGHGRHQoDRXGRHQoDVLQIHFLRVDVGHXPSDFLHQWHSDUDRXWUR$FRQWDPLQDomRGRGLVSRVLWLYRSRGHFDXVDUOHV}HVGRHQoDVFHJXHLUDRXDPRUWHGRSDFLHQWH
'HSRLVGHXWLOL]DUHOLPLQDURSURGXWRHDHPEDODJHPGHDFRUGRFRPDSROtWLFDKRVSLWDODUDGPLQLVWUDWLYDHRXGR
governo local.
1mRIRUDPDYDOLDGRVRVHIHLWRVDORQJRSUD]RGH0LWRPLFLQD& 00& FRPDXWLOL]DomRGHVWHGLVSRVLWLYR5HFRPHQGDVHYLYDPHQWHTXHVHMDPUHVSHLWDGDVDVSUHFDXo}HVHDVLQWHUYHQo}HVQHFHVViULDVTXDQWRjXWLOL]DomR
GH00&20LFUR6KXQWQmRGHYHHVWDUVXMHLWRDFRQWDFWRGLUHWRFRPPDWHULDLVjEDVHGHJHODWLQDGHSHWUyOHR LVWRpYDVHOLQD 
SRUH[HPSORXQJXHQWRVGLVSHUV}HVHWF 
2VHIHLWRVGRFRUWHRXGDPRGLILFDomRGR0LFUR6KXQWQmRIRUDPDYDOLDGRV
2VYLVFRHOiVWLFRVQmRIRUDPWHVWDGRVFRPHVWHGLVSRVLWLYR&RQWXGRHPFDVRGHHPHUJrQFLDHQRFDVRGHLQVXFHVVR
GHWRGDVDVRXWUDVWHUDSrXWLFDVSRGHUiRSWDUVHSHODXWLOL]DomRGHKLGUR[LSURSLOPHWLOFHOXORVH +30& $XWLOL]DomRGH
+30&GHYHUiVHUFRQVLGHUDGDFRPR~OWLPRUHFXUVRSDUDFRUULJLUXPDFkPDUDSODQDFRPR0LFUR6KXQWSRGHQGRVH
FRUUHURULVFRGHSHUGDGHIOX[RDWUDYpVGRGLVSRVLWLYRGXUDQWHXPDRXPDLVVHPDQDVVXEVHTXHQWHVVHQGRQHFHVViULD
XPDREVHUYDomRPDLVGHWDOKDGDRXPDLVIUHTXHQWHGD3,2
PRECAUÇÕES
$VHJXUDQoDHHILFiFLDGR0LFUR6KXQWQmRIRUDPHVWDEHOHFLGDVHPSDFLHQWHVFRPDVVHJXLQWHVFLUFXQVWkQFLDVRXFRQGLo}HVż 2OKRVFRPLQIODPDomRFUyQLFD
ż 2OKRVFRPJODXFRPDLQIDQWLORXFRQJpQLWRż Olhos com glaucoma neovascularż Olhos com glaucoma uveítico
ż Olhos com glaucoma pseudoexfoliativo ou pigmentarż 2OKRVFRPRXWURVJODXFRPDVGHkQJXORDEHUWRVHFXQGiULRVż 2OKRVTXHIRUDPVXEPHWLGRVDFLUXUJLDSDUDJODXFRPDLQFLVLRQDODQWHULRURXSURFHGLPHQWRVDEODWLYRVGRVFtOLRV
ż ,PSODQWDomRFRPFLUXUJLDDFDWDUDWDVFRQFRPLWDQWHFRPLPSODQWDomRGH/,2
(YLWDURXVRGHIyUFHSVGHQWDGRVSDUDPDQXVHDURGLVSRVLWLYR6mRUHFRPHQGDGRVIyUFHSVGHWLSR0F3KHUVRQ$3,2GRSDFLHQWHGHYHVHUPRQLWRUL]DGDQRSyVRSHUDWyULR6HD3,2QmRIRUFRUUHWDPHQWHPDQWLGDDSyVDFLUXUJLD
GHYHVHUFRQVLGHUDGDWHUDSLDDGLFLRQDODSURSULDGDSDUDPDQWHUD3,2
$VHJXUDQoDHHILFiFLDGHXWLOL]DomRGHPDLVGHXP35(6(5)/20LFUR6KXQWLQGLYLGXDOQmRIRUDPHVWDEHOHFLGDV1mRXWLOL]DU0LFUR6KXQWVHHVWHVHDSUHVHQWDUGHIRUPDGRGREUDGRHRXGLVWRUFLGR$FULDomRGHRXPDLVW~QHLVHVFOHUDLVQXPDWHQWDWLYDGHLPSODQWDUR0LFUR6KXQWSRGHSURYRFDUDIXJDGRKXPRUDTXRVRHDXPHQWDURULVFRGHKLSRWRQLDVHRVW~QHLVHVFOHUDLVDGLFLRQDLVQmRVHWLYHUHPYHGDGRRXQmRWLYHUHPVLGRVXWXUDGRV'XUDQWHRWUDWDPHQWRGHSDFLHQWHVFRPXPDFkPDUDDQWHULRUSRXFRSURIXQGDRXSODQDH[LVWHDSRVVLELOLGDGHHPERUDSRXFRSURYiYHOGHTXHDGLODWDomRIDUPDFROyJLFDGDSXSLODGHVWHVSDFLHQWHVSRVVDID]HUFRPTXHDtULVREVWUXDR
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3URJUHVVmRGRJODXFRPDQmRFRQWURODGDDXPHQWRQDUD]mRHVFDYDomRGLVFR &' FRPSOLFDo}HVUHODFLRQDGDVFRP
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Cirurgia:
1. Anestesia:2WLSRGHDQHVWHVLDTXHVHUiDGPLQLVWUDGDGXUDQWHRSURFHGLPHQWRILFDUiDRFULWpULRGRFLUXUJLmR
2. Preparação do PRESERFLO™ MicroShunt:D ([DPLQHFXLGDGRVDPHQWHDHPEDODJHPTXHFRQWpPR35(6(5)/20LFUR6KXQW6HDEROVDHVWLYHUGDQLILFDGDQmRXWLOL]HRGLVSRVLWLYRE 5HPRYDR35(6(5)/2
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VROXomRVDOLQDHTXLOLEUDGD %66 
3. Planeamento da posição do implante:$LQWURGXomR0LFUR6KXQWILFDDRFULWpULRGRFLUXUJLmRSRGHQGRVHULQVHULGRQRTXDGUDQWHVXSHURQDVDORXVXSHURWHPSRUDOGRROKRHYLWDQGRRVP~VFXORVUHWRV
4. Tração da córnea e retalho conjuntival/de Tenon:([HFXWHXPDWUDomRGDFyUQHDFRPVXWXUDDFULWpULRGRFLUXUJLmR1DiUHDFLU~UJLFDSODQHDGDIDoDXPDLQFLVmRGHSHULWRPLDGHPPHHPVHJXLGDSURFHGDjGLVVHFDomRGHXPDEROVDVXEFRQMXQWLYDOVXEWHQRQLDQD FRPEDVHIyUQL[ VREUHXPDFLUFXQIHUrQFLDGHGHVGHD
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FRQMXQWLYD5HPRYDDVHVSRQMDVHODYHDEXQGDQWHPHQWHFRPVROXomRVDOLQDHTXLOLEUDGD %66  !PO Preparação do local de entrada da câmara anterior:8WLOL]HRPDUFDGRUGHPP PDUFDGRUHVFOHUDO SDUDPDUFDURVSRQWRVFRPD&DQHWDPDUFDGRUD9LROHWDGHJHQFLDQDHPDUTXHXPSRQWRDPPGROLPER
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SDUDFHQWHVHRXXWLOL]HXPDFkQXODFXUYDGHSDUHGHILQDFRPPPHGHFDOLEUH*HLQMHWHD%66QDH[WUHPLGDGHGLVWDO
GR0LFUR6KXQWSDUDSXUJDURWXER6HRIOX[RQmRIRUUHVWDEHOHFLGRUHSRVLFLRQHRXVXEVWLWXDRGLVSRVLWLYRVerificação da posição do MicroShunt no ângulo da câmara anterior:eUHFRPHQGiYHODUHDOL]DomRGHJRQLRVFRSLDLQWUDRSHUDWyULDSDUDDYDOLDUDSRVLomRGDSRQWDSUR[LPDO0LFUR6KXQWQDFkPDUDDQWHULRUSDUDJDUDQWLUTXH
existe um espaço suficiente da córnea ou da íris.
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MicroShunt está desobstruído.
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Instrucciones de uso (es)INTRODUCCIÓN
El producto PRESERFLO MicroShunt está compuesto por el dispositivo PRESERFLO MicroShunt y un marcador
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dispositivo PRESERFLO MicroShunt reduce la presión intraocular al desviar físicamente el humor acuoso desde la
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DESTINATARIOS
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ADVERTENCIAS
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transmisión de enfermedades infecciosas entre un paciente y otro. La contaminación del dispositivo puede provocar
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PRECAUCIONES
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y el agua.
INSTRUCCIONES DE USO$QWHVGHXWLOL]DUHOGLVSRVLWLYRHOXVXDULRGHEHUHFLELUXQDFDSDFLWDFLyQDSURSLDGDVREUHVXXVR
Cirugía:1. Anestesia:(OWLSRGHDQHVWHVLDDDGPLQLVWUDUGXUDQWHHOSURFHGLPLHQWRGHSHQGHUiGHOFULWHULRGHOFLUXMDQR
2. Preparación del PRESERFLO™ MicroShunt:D ([DPLQHFRQFXLGDGRODEROVDTXHFRQWLHQHHO35(6(5)/2
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4. Tracción corneal y colgajo conjuntival/tenoniano: La tracción corneal se lleva a cabo con una sutura de a criterio
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ϡΪΨΘδϳϱάϟ΍ΖϗϮϟ΍ϲϓΓήτϴδϟ΍ϦϋΝέΎΧϦϴόϟ΍ςϐοΎϬϴϓϥϮϜϳϲΘϟ΍ϭΔϳϭ΍ΰϟ΍ΔΣϮΘϔϣΔϴγΎγϷ΍ΎϣϮϛϮϠΠϟΎΑϥϮΑΎμϤϟ΍ϥϮϐϟΎΒϟ΍ϰοήϤϟ΍ϢϫϥϮϓΪϬΘδϤϟ΍ϰοήϤϟ΍
ΔΣ΍ήΟ˯΍ήΟ·ΐϠτΘϳΎϣϮϛϮϠΠϟ΍έϮτΗϥϮϜϳΎϤϨϴΣϭ΃ϭϪϠϤΤΗϦϜϤϳϱάϟ΍ϲΒτϟ΍Νϼόϟ΍ϦϣϰμϗϷ΍ΪΤϟ΍ϪϴϓξϳήϤϟ΍
ΔϴϟΎΘϟ΍ΕϻΎΤϟ΍ϭϑϭήψϟ΍ϲϓMicroShuntϡΎψϧωέίϊϨϤϳΔϤΤΘϠϤϟ΍ˬϝΎΜϤϟ΍ϞϴΒγϰϠϋ ϯήΧϷ΍ΔτΒΗήϤϟ΍ν΍ήϣϷ΍ϭ΃ΔϤΤΘϠϤϟ΍ΏΎϬΘϟ΍ϞϤθΗϲΘϟ΍ϥϮϴόϠϟΔϘΑΎδϟ΍ΔϴϨϴόϟ΍ΔΣ΍ήΠϟ΍ˬΔϤΤΘϠϤϟ΍ϲϓΏΪϧΩϮΟϭ˭Δϳϭ΍ΰϟ΍ϕϼϏ·ΎϣϮϛϮϠΟ
ΏΎϬΘϟ΍ˬΔΒϠμϟ΍ΏΎϬΘϟ΍ˬΔϤΤΘϠϤϟ΍ΏΎϬΘϟ΍ˬϦϔΠϟ΍ΏΎϬΘϟ΍ˬϝΎΜϤϟ΍ϞϴΒγϰϠϋ ςθϨϟ΍ΏΎϬΘϟϻ΍˭ΔϴΣΰϘϟ΍ϲϓςθϨϟ΍ΔϴϋϭϷ΍ϥϮϜΗ˭ϑΪϬΘδϤϟ΍ϊΑήϟ΍ϲϓ Ϧϴόϟ΍ΔϴϧήϗˬΔϘϴϗήϟ΍
Ϧϴόϟ΍ϞΧ΍ΩϥϮϜϴϠϴδϟ΍Ζϳί˭ $&,2/ ϦϴόϠϟΔϴϠΧ΍Ϊϟ΍ΓήΠΤϟ΍ϞΧ΍ΩΔγΪϋΩϮΟϭ˭ΔϴϠΧ΍Ϊϟ΍ΓήΠΤϟ΍ϲϓΝΎΟΰϟ΍˭ ΔϴϠμΒϟ΍Δϴ΋ΎϋϮϟ΍ΔϘΒτϟ΍ΏΎϬΘϟ΍ˬΔϴϧήϘϟ΍

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Kirurgi:
1. Anestesi:7\SHQDYDQHVWHVLVRPVNDDGPLQLVWUHUDVXQGHULQJUHSSHWYlOMVDYNLUXUJHQ
2. Förberedelse av PRESERFLO™ MicroShunt: D 8QGHUV|NSnVHQPHG35(6(5)/20LFUR6KXQWQRJD2P
SnVHQlUVNDGDGInUHQKHWHQLQWHDQYlQGDVE 7DXW35(6(5)/20LFUR6KXQWXUGHQVWHULODI|USDFNQLQJHQRFK
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3. Planering av implantatets position:,QVlWWQLQJDY0LFUR6KXQWVNHUHIWHUNLUXUJHQVEHG|PQLQJDQWLQJHQLGHQ|YUH
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4. Hållsutur i kornea och lambå i konjunktiva/Tenons kapsel:6lWWKnOOVXWXULNRUQHDPHGKMlOSDYVXWXUHQOLJWNLUXUJHQVEHG|PQLQJ/lJJHQ±PPSHULWRPLLQFLVLRQLGHWSODQHUDGHRSHUDWLRQVRPUnGHWRFKGLVVHNHUDVHGDQHQIRUQL[EDVHUDG VXENRQMXQNWLYDOVXEWHQRQDO¿FND|YHUHQRPNUHWVSn±IUnQQlUDOLPEXVWLOOHWWGMXSSnPLQVWPP6lNHUVWlOODWWLQJHQDNWLYEO|GQLQJI|UHOLJJHULRPUnGHWI|UGHQSODQHUDGHLQI|ULQJHQDY0LFUR6KXQW8QGYLNDOOWI|U
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Förberedelse av ingångsstället i den främre kammaren:)\OOL±PPPDUNHULQJVSXQNWHUQD VNOHUDPDUN|U 
med markeringspennan – gentianaviolett och markera en punkt 3 mm från limbus.
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Införing av MicroShunt i den främre kammaren: Använd en icke-tandad pincett till att positionera MicroShuntVODQJHQPHGDYIDVQLQJHQYlQGPRWNRUQHDQlUDLQWLOO¿FNDQWXQQHOQLVNOHUDVDPWLGLJWVRPEODG\WDQKnOOVSDUDOOHOOPHG
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Postoperativt: .RQWUROOHUDGHWLQWUDRNXOlUDWU\FNHWYLGYDUMHXSSI|OMQLQJI|UDWWIDVWVWlOODRP0LFUR6KXQWlU|SSHQ 2P0LFUR6KXQWÀ\WWDVRPDYOlJVQDVRFKHOOHUE\WVXWPRWQnJRQDQQDQW\SDYHQKHWEDVHUDWSnHQKHWHQVIXQNWLRQVND
NRQMXQNWLYDLQFLGHUDVYLGOLPEXVSnOLNQDQGHVlWWVRPYLGGHWXUVSUXQJOLJDLQJUHSSHW(QKHWHQVNDH[SRQHUDVRFKRPÀ\WWQLQJHOOHUDYOlJVQDQGHGlUHIWHUXWI|UDV2PHQKHWHQDYOlJVQDVEHNUlIWDDWWLQJHWNDPPDUYDWWHQULQQHUXWYLDWXQQHOQ2PGHWWD
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(ar ΎϣϮϛϮϠΠϟ΍ϑ΍ΰϧϻPRESERFLOϡΎψϧϝΎϤόΘγϻ΍ΕΎϤϴϠόΗ
ΔϣΪϘϣίΎϬΟϮϫMicroShuntϢϣ20-3ϞϴΘγβϠϧΎΘδϟ΍Ϧϣϲ˷ ΒϠ˶ λήηΆϣϭPRESERFLO
MicroShuntϦϣPRESERFLO MicroShuntΞΘϨϣϥϮϜΘϳ
˵ϲΟέΎΧήτϘΑΏϮΒϧ΄Α> ϦϳήϳΎΘγϙϮϠΑϦϴϠϴΗϮΑϭΰϳ΍ϙϮϠΑϦϳήϳΎΘγ ϲϟϮΑ@6,%6ΔϧϭήϤϟ΍ϖ΋ΎϓήϤϴϟϮΑϦϣωϮϨμϣϮϫϭϦϴόϟ΍ϲϓϪΘϋ΍έίϢΘΗΎϣϮϛϮϠΠϠϟϒϳήμ˴˶ ΗΔϤΤΘϠϤϟ΍ΰϴΣΖΤΗϪγήϏϢΘϴϟϡΎψϨϟ΍ϢϴϤμΗϢΗΔϴϣΎϣϷ΍ΓήΠΤϟ΍ϰϟ·ΏϮΒϧϷ΍ϝΎϘΘϧ΍ϊϨϤΗΔϴΛϼΛϒϧΎϋίϪϟήΘϣϭήϜϴϣώϠΒϳϦ˴ϣϮ˵ϟϭήΘϣϭήϜϴϣώϠΒϳΓϮΒόϟ΍ϰϠϋΔϴΣϼμϟ΍˯ΎϬΘϧ΍ΦϳέΎΗΓ˯΍ήϗϦϣΪϛ΄Η1ΩϮμϘϤϟ΍νήϐϟ΍ϡ΍ΪΨΘγϻ΍
ΪΘϤΗϭ˭ΔϠϘϤϟ΍ΪϤϏϭΔϤΤΘϠϤϟ΍ΖΤΗϞϜθΘΗϲΘϟ΍ΔϋΎϘϔϟ΍ϰϟ·ϦϴόϠϟΔϴϣΎϣϷ΍Δϓήϐϟ΍Ϧϣϲ΋ΎϤϟ΍ςϠΨϟ΍ϖϓΪΘϟΓΎϨϗϞϤόϟΎ˱ΑϮΒϧ΃PRESERFLO MicroShuntϡΪΨΘδϳ
ϞϳϮΤΘΑϦϴόϟ΍ςϐοPRESERFLO MicroShuntϞϠϘϳΔϋΎϘϔϟ΍ϲϓΔϴλΎϘϟ΍ΔϴϔϠΨϟ΍ΔϳΎϬϨϟ΍ϲϬΘϨΗΎϤϨϴΑϦϴόϠϟΔϴϣΎϣϷ΍Δϓήϐϟ΍ϰϟ·ΏϮΒϧϸϟΔϴϧ΍Ϊϟ΍ΔϴϣΎϣϷ΍ΔϳΎϬϨϟ΍
ϞϗϷ΍ςϐπϟ΍Ε΍ΫΔϋΎϘϔϟ΍ϰϟ·ςϐπϟ΍ΔϴϟΎϋΔϴϣΎϣϷ΍Δϓήϐϟ΍ϦϣΎ˱ϳΩΎϣϲ΋ΎϤϟ΍ςϠΨϟ΍
ΔϴϤϜϟ΍ PRESERFLO™ MicroShuntΕΎϳϮΘΤϣ
12 ΔϟΎΤϟ΍ήϳήϘΗΕΎϗΎτΑ

1 ξϳήϤϟ΍ΔϗΎτΑ

0LFUR6KXQW  

1 ΔϴϨϴόϟ΍ΔΒϠμϟ΍ήηΆϣήΘϤϴϠϤϟΎΑΔϴόΟήϤϟ΍ΩΎόΑϷ΍

(ΔϴϤϜϟ΍ ΎϬΑϰλϮϤϟ΍ΕΎϘΤϠϤϟ΍
ϲϫΔΌϴϬϟ΍ϰϠϋΪϤΘόΗϲΘϟ΍ΔϴΣ΍ήΠϟ΍ΔϴϠϤόϠϟΎϬΑϰλϮϤϟ΍PRESERFLO™ MicroShuntΕΎϘΤϠϣ
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1 Ϣϣ1.0ϦϴΗϮτΧϰϠϋϖηΔϳϭ΍ΰΑϥϮϴόϠϟ0$1,ρήθϣϭ΃ 1 ϢϣϖηΔϳϭ΍ΰΑϥϮϴόϠϟ0$1,ρήθϣ 3 ΕΎΠϨϔγ΍
1  ΝέΎϴϋΓήΑ΍ îΝέΎϴϋΔϴϨϴόϟ΍ΔΒϠμϟ΍ϲϓϊΒΘΗΓήΑ·ϥϮϓΪϬΘδϤϟ΍ϥϮϣΪΨΘδϤϟ΍
ϲϓϥϮμμΨΘϤϟ΍ϥϮΣ΍ήΠϟ΍ϢϬϴϓΎϤΑ ΎϣϮϛϮϠΠϟ΍ΝϼϋϲϓϥϮμμΨΘϤϟ΍ϥϮϴόϟ΍ϮΣ΍ήΟϥϮϴόϟ΍˯ΎΒσ΃ϢϫϥϮϓΪϬΘδϤϟ΍PRESERFLO MicroShuntϮϣΪΨΘδϣ
ίΎϬΠϟ΍ϡ΍ΪΨΘγ΍ϰϠϋΎ˱ΒϳέΪΗ΍ϮϘϠΗϦϤϣ Ϧϴόϟ΍ΔγΪϋϡΎϤΘϋ·ΔΣ΍ήΟϭϦϴόϟ΍ϦϣϲϣΎϣϷ΍˯ΰΠϟ΍ϪϨϣήϣ΃ϰϠϋ˱˯ΎϨΑϭ΃ΐϴΒτϟ΍ϞΒϗϦϣϡΎψϨϟ΍΍άϫϊϴΑήμΘϘϳςϘϓΔϴΒσΔϔλϭΐΟϮϤΑϑήμϳϱάϟ΍ϭϡΎψϨϟ΍Ϟθϓϰϟ·ϱΩΆϳϭ΃ϭϡΎψϨϠϟΔϴϠϜϴϬϟ΍ΔϣϼδϟΎΑϝϼΧϹ΍ϰϟ·ϢϴϘόΘϟ΍ΓΩΎϋ·ϭ΃ϡ΍ΪΨΘγϻ΍ΓΩΎϋ·ϱΩΆϳΪϗΔϴϧΎΛϢϘόΗϭ΃ϡΪΨΘδΗϻςϘϓΓΪΣ΍ϭΓήϣϞϤόΘδϳ˱ΐΒδΘϟ΍ϭ΃ϭϡΎψϨϟ΍ΙϮϠΗήτΧϰϟ·Ύπϳ΃ϢϴϘόΘϟ΍ΓΩΎϋ·ϭ΃ϡ΍ΪΨΘγϻ΍ΓΩΎϋ·ϱΩΆϳΪϗΓΎϓϮϟ΍ϭ΃ϰϤόϟ΍ϭ΃νήϤϟ΍ϭ΃ήϴτΨϟ΍ϯΫϷΎΑξϳήϤϟ΍ΔΑΎλ·ϰϟ·ϱΩΆϳΪϗϩέϭΪΑ
ΔΑΎλ·ϰϟ·ϡΎψϨϟ΍ΙϮϠΗϱΩΆϳΪϗήΧϵξϳήϣϦϣΔϳΪόϤϟ΍ν΍ήϣϷ΍νήϤϟ΍ϞϘϧˬήμΤϟ΍ϻϝΎΜϤϟ΍ϞϴΒγϰϠϋˬϚϟΫϲϓΎϤΑˬϯϭΪόϟ΍ϞϘϧϭ΃ϯϭΪόΑξϳήϤϟ΍ΔΑΎλ·ϲϓϪΗΎϓϭϭ΃ϰϤόϟ΍ϭ΃νήϤϟ΍ϭ΃ϯΫϷΎΑξϳήϤϟ΍
˱ΔϴϠΤϤϟ΍ΔϣϮϜΤϟ΍ΔγΎϴγϭ΃ϭΓέ΍ΩϹ΍ϭ΃ϰϔθΘδϤϟ΍ΕΎϤϴϠόΘϟΎϘϓϭΓϮΒόϟ΍ϭΞΘϨϤϟ΍ϦϣκϠΨΗˬϡ΍ΪΨΘγϻ΍ΪόΑ.00&ϲ΋ΎϴϤϴϜϟ΍˯΍ϭΪϟΎΑΔΠϟΎόϤϟ΍ΪϨϋϞΧΪΘϟ΍ϭΕΎσΎϴΘΣϻ΍άΧ΃ΓΪθΑ΢μϨϳϡΎψϨϟ΍΍άϫϲϓ0LWRP\FLQ& 00& ΝϦϴδϴϣϮΘϴϣ˯΍ϭΩϡ΍ΪΨΘγϻϞΟϷ΍ΔϠϳϮτϟ΍έΎΛϵ΍ϢϴϴϘΗϢΘϳϢϟ ϚϟΫϰϟ·ΎϣϭˬΕΎΘΘθϤϟ΍ϭˬϢϫ΍ήϤϟ΍ϞΜϣ  ϦϴϟίΎϔϟ΍ϞΜϣ ϝϭήΘΒϟ΍ΎϬγΎγ΃ϲΘϟ΍Ω΍ϮϤϟ΍ϊϣήηΎΒϤϟ΍βϣϼΘϠϟMicroShuntϡΎψϧνήόΘϳϥ΃ϲϐΒϨϳϻ
.PRESERFLO™ MicroShuntϞϳΪόΗϭ΃ϊτϗέΎΛ΁ϢϴϴϘΗϢΘϳϢϟϞϴδϛϭέΪϴϫϡ΍ΪΨΘγ΍έΎϴΘΧ΍ϥϮϜϳΪϗˬϯήΧϷ΍ΕΎΟϼόϟ΍ϊϴϤΟϞθϔΗΎϣΪϨϋΉέ΍Ϯτϟ΍ΕϻΎΣϲϓˬϦϜϟϭϥϮϴόϟ΍ΔΣ΍ήΠϟϡΎψϨϟ΍΍άϫϲϓΔΟΰϠϟ΍Ω΍ϮϤϟ΍ϡ΍ΪΨΘγ΍έΎΒΘΧ΍ϢΘϳϢϟήϴΧϷ΍ϞΤϟ΍Ϯϫ+30&ϡ΍ΪΨΘγ΍ϥϮϜϳϥ΃ΐΠϳέΎϴΨϛ +30& ίϮϠϴϠδϟ΍ϞϴΜϴϣϞϴδϛϭέΪϴϫϡ΍ΪΨΘγ΍έΎΒΘϋϻΎΑάΧΆϳϥ΃ΐΠϳΎ˱ΒγΎϨϣ +30& ίϮϠϴϠδϟ΍ϞϴΜϴϣ
Ϧϴόϟ΍ςϐπϟΓέήϜΘϤϟ΍ϭ΃ΔϘϴϗΪϟ΍ΔΒϗ΍ήϤϟ΍ΐϠτΘϳΎϤϣˬϡ΍ΪΨΘγϻ΍ΪόΑήΜϛ΃ϭ΃ωϮΒγ΃ΓΪϤϟϡΎψϨϟ΍ήΒϋϖϓΪΘϟ΍ϥ΍ΪϘϔΑήσΎΨϳΪϗϭϡΎψϨΑΔΤτδϣΓήΠΣ΢ϴΤμΘϟ

Ɇɢɤɪɨɲɭɧɬ35(6(5)/20LFUR6KXQWɂɧɫɬɪɭɤɰɢɢɡɚɭɩɨɬɪɟɛɚ EJ
ȼɔȼȿȾȿɇɂȿ
ɉɪɨɞɭɤɬɴɬ35(6(5)/20LFUR6KXQWɫɟɫɴɫɬɨɢɨɬ35(6(5)/20LFUR6KXQWɢ±PPɫɤɥɟɪɚɥɟɧɦɚɪɤɟɪɨɬɧɟɪɴɠɞɚɟɦɚ
ɫɬɨɦɚɧɚɆɢɤɪɨɲɭɧɬɴɬ0LFUR6KXQWɩɪɟɞɫɬɚɜɥɹɜɚɢɦɩɥɚɧɬɢɪɭɟɦɨɝɥɚɭɤɨɦɨɞɪɟɧɚɠɧɨɢɡɞɟɥɢɟɢɡɪɚɛɨɬɟɧɨɨɬ
ɢɡɤɥɸɱɢɬɟɥɧɨɝɴɜɤɚɜɫɬɢɪɟɧɛɥɨɤɢɡɨɛɭɬɢɥɟɧɛɥɨɤɫɬɢɪɟɧ 6,%6 >ɩɨɥɢ ɫɬɢɪɟɧɛɥɨɤɢɡɨɛɭɬɢɥɟɧɛɥɨɤɫɬɢɪɟɧ @ɩɨɥɢɦɟɪ
ɫɬɪɴɛɢɱɤɚɫɜɴɧɲɟɧɞɢɚɦɟɬɴɪPɢɞɢɚɦɟɬɴɪɧɚɥɭɦɟɧɚPɋɧɚɛɞɟɧɟɫɬɪɢɴɝɴɥɧɢɩɟɪɤɢɤɨɢɬɨɧɟɩɨɡɜɨɥɹɜɚɬ
ɦɢɝɪɚɰɢɹɤɴɦɩɪɟɞɧɚɬɚɤɚɦɟɪɚɂɡɞɟɥɢɟɬɨɟɪɚɡɪɚɛɨɬɟɧɨɫɰɟɥɞɚɫɟɢɦɩɥɚɧɬɢɪɚɩɨɞɫɭɛɤɨɧɸɧɤɬɢɜɧɨɬɨɬɟɧɨɧɨɜɨɬɨ
ɩɪɨɫɬɪɚɧɫɬɜɨ
 ɇɟɩɪɟɦɟɧɧɨɬɪɹɛɜɚɞɚɩɪɨɜɟɪɢɬɟɫɪɨɤɚɧɚɝɨɞɧɨɫɬɜɴɪɯɭɨɩɚɤɨɜɤɚɬɚ
ɉɊȿȾɇȺɁɇȺɑȿɇɂȿɐȿɅ
35(6(5)/20LFUR6KXQWɢɡɩɨɥɡɜɚɬɪɴɛɚɡɚɞɚɫɴɡɞɚɞɟɤɚɧɚɥɡɚɩɨɬɨɤɚɧɚɜɴɬɪɟɨɱɧɚɬɚɬɟɱɧɨɫɬɨɬɚɧɬɟɪɢɨɪɧɚɬɚɤɚɦɟɪɚ
ɧɚɨɤɨɬɨɤɴɦɦɟɯɭɪɱɟɨɛɪɚɡɭɜɚɧɨɩɨɞɤɨɧɸɧɤɬɢɜɚɬɚɢɌɟɧɨɧɨɜɚɬɚɤɚɩɫɭɥɚɩɪɟɞɧɢɹɬɩɪɨɤɫɢɦɚɥɧɢɹɬɤɪɚɣɧɚɬɪɴɛɚɬɚɫɟ
ɩɪɨɫɬɢɪɚɜɚɧɬɟɪɢɨɪɧɚɬɚɤɚɦɟɪɚɚɡɚɞɧɢɹɬɞɢɫɬɚɥɧɢɹɬɤɪɚɣɡɚɜɴɪɲɜɚɜɦɟɯɭɪɱɟɬɨ35(6(5)/20LFUR6KXQWɧɚɦɚɥɹɜɚ
ɜɴɬɪɟɨɱɧɨɬɨɧɚɥɹɝɚɧɟ ȼɈɇ ɱɪɟɡɮɢɡɢɱɟɫɤɨɩɪɟɦɟɫɬɜɚɧɟɧɚɜɴɬɪɟɨɱɧɚɬɚɬɟɱɧɨɫɬɨɬɚɧɬɟɪɢɨɪɧɚɬɚɤɚɦɟɪɚɫɜɢɫɨɤɨ
ɧɚɥɹɝɚɧɟɤɴɦɦɟɯɭɪɱɟɬɨɫɩɨɧɢɫɤɨɧɚɥɹɝɚɧɟ
Ɇɢɤɪɨɲɭɧɬ35(6(5)/20LFUR6KXQWɋɔȾɔɊɀȺɇɂȿ ɄɈɅɂɑȿɋɌȼɈ
ȿɬɢɤɟɬɢɧɚɞɨɤɥɚɞɩɨɫɥɭɱɚɹ Ʉɚɪɬɚɧɚɩɚɰɢɟɧɬɚ Ɇɢɤɪɨɲɭɧɬ0LFUR6KXQW ɦɢɥɢɦɟɬɪɨɜɫɤɥɟɪɚɥɟɧɦɚɪɤɟɪ ΕΎσΎϴΘΣ΍
ΔϴϟΎΘϟ΍ωΎοϭϷ΍ϭ΃ϑϭήψϟ΍ϦϣϥϮϧΎόϳϦϳάϟ΍ϰοήϤϟ΍ϲϓMicroShuntΔϴϟΎόϓϭΔϣϼγΕΎΒΛ·ϢΘϳϢϟϦϣΰϣΏΎϬΘϟΎΑΔΑΎμϣϥϮϴϋ żϲϠϔτϟ΍ϭϲϘϠΨϟ΍ΎϣϮϛϮϠΠϟΎΑΔΑΎμϣϥϮϴϋ żΓΪϳΪΟΔϳϮϣΩΔϴϋϭ΄ΑϦϴόϟ΍Δϳϭ΍ίϕϼϏ΍ ΔϳϮϧΎΜϟ΍ΎϣϮϛϮϠΠϟ΍νήϤΑΔΑΎμϣϥϮϴϋ żΔϴΒϨόϟ΍ΏΎϬΗ΍ΎϣϮϛϮϠΠΑΔΑΎμϣϥϮϴϋ żΔϴϏΎΒμϟ΍ΎϣϮϛϮϠΠϟ΍ϭ΃ΔΑΫΎϜϟ΍ΎϣϮϛϮϠΠϟΎΑΔΑΎμϣϥϮϴϋ żΔϳϮϧΎΜϟ΍ΔΣϮΘϔϤϟ΍Δϳϭ΍ΰϟ΍ΎϣϮϛϮϠΠΑΔΑΎμϣϥϮϴϋ żϦϴόϟ΍ϲϓήϴψϨΘϟΎΑΔΣ΍ήΟΕ΍˯΍ήΟ΍ϭ΃ΔϴΣ΍ήΟΕΎϴϠϤϋϭ΃ΎϣϮϛϮϠΠϠϟΔϘΑΎγΔϴΣ΍ήΟΔϴϠϤόϟΖόπΧϲΘϟ΍ϥϮϴόϟ΍ żϦϴόϟ΍ϞΧ΍ΩΔγΪϋΔϋ΍έίϊϣϦϴόϟ΍ΔγΪϋϡΎΘϋ΍΢ϴΤμΗΔΣ΍ήΟϊϣωέΰϟ΍ ż.McPhersonςϗϼϣϡ΍ΪΨΘγΎΑϰλϮϳϡΎψϨϟ΍΍άϫϝϭ΍ΪΘϟϦϨδϤϟ΍ςϘϠϣϡ΍ΪΨΘγ΍ΐϨΠΗΐγΎϨϣϲϓΎο·Νϼϋϡ΍ΪΨΘγ΍έΎΒΘϋ΍ΐΠϳˬΔΣ΍ήΠϟ΍ΪόΑΐγΎϨϣϞϜθΑϦϴόϟ΍ϞΧ΍Ωςϐπϟ΍ϰϠϋυΎϔΤϟ΍Ϣϟ΍Ϋ·ΔΣ΍ήΠϟ΍ΪόΑξϳήϤϠϟϦϴόϟ΍ϞΧ΍Ωςϐπϟ΍ΔΒϗ΍ήϣΐΠϳϦϴόϟ΍ϞΧ΍Ωςϐπϟ΍ϯϮΘδϣϰϠϋυΎϔΤϠϟ.PRESERFLO™ MicroShuntϦϣήΜϛ΃ϭ΃ΪΣ΍ϭϡΎψϧϡ΍ΪΨΘγ΍ΔϴϟΎόϓϭΔϣϼγέΎΒΘΧ΍ϢΘϳϢϟ˱˱ΎϔϠΘΨϣϭ΃ϭΎϴϨΤϨϣϭ΃ΎϫϮθϣϪϧ΃ϦϴΒΗ΍Ϋ·MicroShuntϡΎψϧϡΪΨΘδΗϻςϴϴΨΗϡΪϋΔϟΎΣϲϓˬήΗϮΘϟ΍κϘϨΑΔΑΎλϹ΍ήτΧΓΩΎϳίϭϲ΋ΎϤϟ΍ςϠΨϟ΍ΏήδΗϲϓΐΒδΘϳΪϗMicroShuntωέΰϟΔϟϭΎΤϣϲϓήΜϛ΃ϭ΃ΔΒϠμϟ΍ΏϮϴΠϟ΍ϦϣϦϴϨΛ΍˯Ύθϧ·Ύ˱ϴΗ΍ΫΎϬϣΎΌΘϟ΍ϭ΃ΔϴϓΎοϹ΍ΔΒϠμϟ΍ΏϮϴΠϟ΍
˯ϻΆϫϯΪϟΔϗΪΤϠϟΔϴΟϮϟϮϛΎϣέΎϔϟ΍ΔόγϮΘϟ΍ΐΒδΘΗΪϗˬ΢ΟέϷ΍ϰϠϋΙΪΤϳϻ΍άϫϭˬΔΤτδϣϭ΃ΔϘϴϤϋήϴϏΔϴϣΎϣ΃ϦϴϋΔϓήϏϢϬϳΪϟϦϤϣϰοήϤϟ΍ϊϣϞϣΎόΘϟ΍ΪϨϋΔόγϮΘϟ΍ΪόΑήΒϛ΃ΓήϴΗϮΑϦϴόϟ΍ςϐοΔΒϗ΍ήϤΑϰλϮϳˬϰοήϤϟ΍˯ϻΆϬϟΔΒδϨϟΎΑMicroShuntΪγϲϓϰοήϤϟ΍
ΔϴΒϠδϟ΍Ι΍ΪΣϷ΍ΔϠϤΘΤϤϟ΍Ε΍ΪϴϘόΘϟ΍
ΔΣ΍ήΠϟ΍ΪόΑϭ˯ΎϨΛ΃ΕΎϔϋΎπϤϟ΍ϞϤθΗΪϗˬϡΎψϨϟ΍ωέίϞθϓˬMicroShuntϡΎψϧϝΎΧΩ·ΔΑϮόλΓΩΎϳίˬήϳΪΨΘϟΎΑΔϘϠόΘϤϟ΍ΕΎϔϋΎπϤϟ΍ˬ &' ιήϘϟ΍ϰϟ·ΏϮϜϟ΍ΔΒδϧΓΩΎϳίˬΎϬϴϠϋΓήτϴδϟ΍ϥϭΪΑΎϣϮϛϮϠΠϟ΍έϮτΗΓήΠΤϟ΍ϲϓΪ΋΍ίϒϳΰϧˬΔϴΤτγΔϴϣΎϣϷ΍ΓήΠΤϟ΍ˬΔΤτδϣΔϴϣΎϣϷ΍ΓήΠΤϟ΍ˬΔϴϣΎϣϷ΍ΓήΠΤϟ΍ΝέΎΧΏϮΒϧϷ΍ϝΎϘΘϧ΍ˬΪΘϤϣϲΣ΍ήΟ˯΍ήΟ·ˬίΎϬΠϟ΍ϊοϮϣήϴϴϐΗˬϡΎψϨϟ΍ϲϓϞϠΧˬΔϴϣΎϣϷ΍ΓήΠΤϟ΍ϞΧ΍ΩΔΟϭΰϠϟ΍ϡ΍ΪΨΘγ΍ˬϝϮΤϟ΍ˬ˱΍ΪΟξϔΨϨϣϭ΃ϲϟΎϋϦϴόϟ΍ϞΧ΍Ωςϐπϟ΍ˬΔϴΣΰϘϟ΍ϭ΃ΔϴϧήϘϠϟMicroShuntϡΎψϧβϤϟˬϦϴόϟ΍ϭ΃ϖθϟ΍ϊϗϮϣϭ΃ΔϴϣΎϣϷ΍
ˬΔϠϘϤϟ΍ϦσΎΑΏΎϬΘϟ΍ˬΔϟΎόϓήϴϏϦϴϋˬήψϨϟ΍ϲϧΪΗϭ΃ήΗϮΘϟ΍κϘϧˬϡΪϟ΍ήϘϓˬ ϱήΛΎϜΘϟ΍ΔϴϜΒθϟ΍ϝϼΘϋ΍ˬΔϴϜΒθϟ΍ϝΎμϔϧ΍ ΔϴϜΒθϟ΍ϲϓΕΎϔϋΎπϣˬϑΰϨϟ΍ϭ΃ϲ΋ΎϤϴθϤϟ΍ΏΎΒμϧϻ΍
Ν΍ϭΩί΍ˬϦϴόϟ΍ΔϴΣΰϗΏΎϬΘϟ΍ˬΔϴΣΰϘϟ΍ΏΎϬΘϟ΍ˬ ϡΎτΤϟ΍ϭ΃ϦϳήΒϴϔϟ΍ϭ΃ϲΟΎΟΰϟ΍ϭ΃ΔϴΣΰϘϟ΍Δτγ΍ϮΑΩ΍Ϊδϧ΍ Ύ˱ϴϠϛϭ΃Ύ˱ϴ΋ΰΟΏϮΒϧϷ΍Ω΍Ϊδϧ΍ˬΔϤΤΘϠϤϟ΍ϝϼΧϦϣΏϮΒϧϷ΍Ϟϛ΂ΗΏΎϬΘϟ΍ˬΖϴϤδϳΪϟ΍˯ΎθϏϲϓϖϘθΗˬΔϴϧΎτΒϟ΍ΎϳϼΨϟ΍ϥ΍ΪϘϓˬϲϋΎϘϔϟ΍ΔϴϧήϘϟ΍ϝϼΘϋ΍ˬΔοϭΎόϤϟ΍ϡΪϋˬϯϭΪόϟ΍ˬΡήϘΘϟ΍ˬΔϣΫϮϟ΍ˬϞϛ΂Θϟ΍ ΔϴϧήϘϟ΍ΕΎϔϋΎπϣˬϲ΋ΎϤϟ΍ϞϴϠπΘϟ΍ˬΔϳ΅ήϟ΍Ε΍ήΘϔϟΏΎϬΘϟϻ΍ˬΔϴόϘΒϟ΍ΔϣΫϮϟ΍ˬϥϮϔΠϟ΍ϲϟΪΗˬΔϗΪΤϟ΍ΔϠΘϛˬήΜΒϟ΍ϞθϓˬΔϴϧήϘϟ΍ήΜΑΏΎϬΘϟ΍ˬΔϴϧήϘϟ΍ΏΎϬΘϟ΍ˬϡΪϟ΍ΏήδΗˬΔϳ΅ήϟ΍ΔϴΑΎΒοˬϲϠϜϟ΍ϭ΃ϲ΋ΰΠϟ΍Δϳ΅ήϟ΍ϥ΍ΪϘϓˬ ΔϴϧήϘϟ΍
ΔγΪϋϡΎΘϋ·έϮτΗϭ΃έϮτΗˬϞϛ΂ΗΔϴΣΰϗΕΎϗΎμΘϟ΍ˬ ΔΣήϗˬϕΰϤΗˬΔΑΪϧˬϥΎϘΘΣ΍ˬϒϳΰϧˬ΢ϳήθΗˬέΰϔΗˬΐϘΛ ΔϤΤΘϠϤϟ΍ΕΎϔϋΎπϣˬϦϴόϟ΍Ϣϟ΃ˬΎϣϮϛϮϠΠϟ΍ΔϳϭΩ΃ϡ΍ΪΨΘγ΍ˬΔϠϳϮσ
ήϴϏϲΣ΍ήΠϟ΍ϞΧΪΘϟ΍ΓΩΎϋ·ˬϱήμΒϟ΍ϝΎΠϤϟ΍ϒϠΗˬΔϴϣΎϣϷ΍ΓήΠΤϟ΍ϲϓϦϳήΒϴϓˬΐϳήϏϢδΠΑαΎδΣϹ΍ˬϒϴϠϐΘϟ΍ϞϋΎϔΗˬMicroShuntΡήηˬΔϴϔϠΨϟ΍ΔϟϮδΒϜϟ΍ΔϣΎΘϋˬϦϴόϟ΍
ΔσΎϴΨϟΎΑΔϘϠόΘϤϟ΍ΕΎϔϋΎπϤϟ΍ϭˬΡήΠϟ΍ΏήδΗˬϲΟΎΟίϒϳΰϧˬω΍ΪλˬΓήϜϟ΍ΐϘΛˬϱήμΒϟ΍ιήϘϟ΍ϒϳΰϧˬΎϣϮϛϮϠΠϟΎΑϖϠόΘϤϟ΍ϪϟςτΨϤϟ΍
ϢϴϘόΘϟ΍
 ETO ϦϴϠϴΜϳϹ΍Ϊϴδϛ΄ΑPRESERFLO™ MicroShuntΕΎϧϮϜϣϢϴϘόΗϢΘϳΎϬϣϼΘγ΍ΪϨϋΔϤϘόϣϥϮϜΗPRESERFLO™ MicroShuntΕΎϧϮϜϣϊϴϤΟ˱ήϴϏϪΗΎϘΤϠϣϦϣϱ΃ϭ΃PRESERFLO™ MicroShuntϡΎψϧϥ΃ήΒΘϋ΍΍Ϋ·ΎϬϔϠΗϭ΃ΓϮΒόϟ΍΢ΘϓϢΘϳϢϟΎϣΔϤϘόϣΕΎϳϮΘΤϤϟ΍ϰϘΒΘγ,62ΕΎϬϴΟϮΘϟΎϘϓϭΔϴϧΎΛϢϘόΗϻΓ΍ΩϷ΍ϦϣκϠΨΗˬΎϬϔϠΗϭ΃ϭΓϮΒόϟ΍΢ΘϓϢΗ΍Ϋ·ϭ΃ˬΪμϗϥϭΩΔϤϘόϣ
ϥΰΨϟ΍ϩΎϴϤϟ΍ϭΓήηΎΒϤϟ΍βϤθϟ΍Δόη΃ϭΔσήϔϤϟ΍ΔΑϮσήϟ΍ϭΓΪ΋΍ΰϟ΍Γέ΍ήΤϟ΍ΐϨΠΗΐΠϳϭΔϳϮΌϣΔΟέΩ20ϲϓϢϜΤΘϟ΍ΖΤΗΔϓήϏΓέ΍ήΣΔΟέΩϲϓϡΎψϨϟ΍ϥΰΨϳϡ΍ΪΨΘγϻ΍ΕΎϤϴϠόΗ
ϡ΍ΪΨΘγϻ΍ϞΒϗΓ΍ΩϷ΍ϡ΍ΪΨΘγ΍ϰϠϋ΢ϴΤλϞϜθΑϡΪΨΘδϤϟ΍ΐϳέΪΗΐΠϳΔΣ΍ήΠϟ΍
Ρ΍ήΠϟ΍ήϳΪϘΗΐδΣΔϴϠϤόϟ΍˯ΎϨΛ΃ήϳΪΨΘϟ΍ωϮϧϥϮϜϴγήϳΪΨΘϟ΍ .1
ˬΓϮΒόϟ΍έήπΗΔϟΎΣϲϓPRESERFLO™ MicroShuntϡΎψϧϱϮΘΤΗϲΘϟ΍ΓϮΒόϟ΍κΤϔΑϢϗ ΃:PRESERFLO™ MicroShuntϡΎψϧήϴπΤΗ .2
PRESERFLO™ϡΎψϧϞϠΑ ΕϢϘόϣ΢τγϰϠϋϪόοϭΔϤϘόϤϟ΍ΓϮΒόϟ΍ϦϣPRESERFLO™ MicroShuntϡΎψϧΝήΧ΃ ΏϡΎψϨϟ΍ϦϣκϠΨΗ %66 ϝΩΎόΘϣϲΤϠϣϝϮϠΤϣϡ΍ΪΨΘγΎΑMicroShuntΔϤϴϘΘδϤϟ΍ΕϼπϋΐϨΠΗϊϣˬϦϴόϠϟϲϏΪμϟ΍ϕϮϓϭ΃ϲϔϧϷ΍ϕϮϓϊΑήϟ΍ϲϓΎϣ·ˬΡ΍ήΠϟ΍ήϳΪϘΗΐδΣMicroShuntϡΎψϧϝΎΧΩ΍ϢΘϳΔγήϐϟ΍ϊοϮϣςϴτΨΗ.3
αΎϴϘΑΔϴϧήϘϟ΍ϝϮΣϖηϞϤϋϢΘϳˬΔττΨϤϟ΍ΔϴΣ΍ήΠϟ΍ΔϘτϨϤϟ΍ϲϓΡ΍ήΠϟ΍ήϳΪϘΗΐδΣςϴΨΑΔϴϧήϘϟ΍ΐΤγϢΘϳΔϤΤΘϠϤϟ΍ϥΎδϟϭΔϴϧήϘϟ΍ΐΤγ .4ϰϠϋϢϣϖϤϋϰϟ·ΔϓΎΤϟ΍ϦϣΏήϘϟΎΑΔΟέΩ120ϰϟ·ςϴΤϤΑΓή΋΍ΩϕϮϓ ΔϴϧήϘϟ΍ΔϓΎΣΪϨϋ ˯Ύθϐϟ΍ΖΤΗΔϤΤΘϠϤϟ΍ΖΤΗϱϮΒϗβϴϛϖηϢΘϳϢΛϦϣϭˬϢϣΏΪϨΘϟ΍ήτΧϦϣΪϳΰϳΪϗΎϤϣˬΔϳϭΎϜϟ΍Ω΍ϮϤϠϟρήϔϤϟ΍ϡ΍ΪΨΘγϻ΍ΐϨΠΗMicroShuntϡΎψϧϝΎΧΩ΍ϢΘϴγϲΘϟ΍ΔϘτϨϤϟ΍ϲϓςθϧϒϳΰϧϱ΃ΩϮΟϭϡΪϋϦϣΪϛ΄ΗϞϗϷ΍˱Δϟ΍ίΈΑϢϗΔϤΤΘϠϤϟ΍ΡήΟΔϓΎΤΑΎϬΘδϣϼϣϡΪϋϦϣΪϛ΄Θϟ΍ϊϣΔϤΤΘϠϤϟ΍ΖΤΗβϴϜϟ΍Ϟϔγ΃00&˰ΑΔόΒθϣΕΎϣΎϤϛΕΎΠϨϔγ΍ϊοΡ΍ήΠϟ΍ήϳΪϘΘϟΎϘϓϭ:MMCϊοϭ.Ϟϣ%66 ! ϝΩΎόΘϣϲΤϠϣϝϮϠΤϣϦϣΓήϳΰϏΕΎϴϤϜΑΔϘτϨϤϟ΍ϒτη΍ϭΕΎΠϨϔγϹ΍
ΔϤΤΘϠϤϟ΍ΔϓΎΣϦϣϢϣ3Δϣϼϋϊοϭ ΔΒϠμϟ΍Δϣϼϋ Ϣϣ3-20ήη΃ϲΠδϔϨΒϟ΍ΪϳΪΤΘϟ΍ϢϠϗϡ΍ΪΨΘγΎΑΔϴϣΎϣϷ΍ΓήΠΤϟ΍ϞΧΪϣϊϗϮϣΩ΍Ϊϋ· .ϕϮϓϞΧΪΗΔϴϣΎϣϷ΍ΓήΠΤϟ΍ϲϓΐϠλϖϔϧ˯ΎθϧΈΑϢϗˬΓΩΪΤϤϟ΍ΔτϘϨϟ΍ΪϨϋ:MANI Double Step-Angled 1.0mmρήθϣϡΪΨΘδΗΖϨϛ΍Ϋ·΃˯Ύϗέΰϟ΍ΔϘτϨϤϠϟϲϔϠΨϟ΍ΪΤϟ΍ ΔϴΣ΍ήΠϟ΍ΔϓΎΤϟ΍ϦϣΓήηΎΒϣςγϭϷ΍ΪΤϟ΍Ϟϔγ΃ΔϴϣΎϣϷ΍ΓήΠΤϟ΍ϞΧΩ΃ˬϲΟέΎΧϞϴϟΪϛ ΔϴϘϴΑήΘϟ΍ΔϜΒθϟ΍ϯϮΘδϣ ΔϴΣΰϘϟ΍ϯϮΘδϣ
ΓΪϴόΒϟ΍ΔϳΎϬϨϟ΍ϲϓϢϣ2ϪϟϮσώϠΒϳΐϠλΐϴΟ˯Ύθϧ·ϢΘϳΎϣΪϨϋΐϠμϟ΍ϖϔϨϟ΍ϞϤΘϜϳΕΪΟϭϥ·ˬ 6FKZDOEHςΧϊϣΎ˱ϴϠΧ΍Ωΐϛ΍ήΘΗϥ΃ΐΠϳϲΘϟ΍ϭˬΔϳΩΎϣήϟ΍Ύ˱ϳϮτϣMicroShuntϦϣϲϔϨϋΰϟ΍˯ΰΠϟ΍ϥϮϜϳΚϴΣˬϱϮΒϠμϟ΍ϖϔϨϠϟ
ΔϔϨϋΰϟ΍˯ΰΟϥϮϜϳΚϴΣˬϢϣ2ϝϮτΑϖϴϤϋήϴϏΎ˱ΒϠλΎ˱ΒϴΟΊθϧ΃ˬΓΩΪΤϤϟ΍ΔτϘϨϟ΍ΪϨϋ:MANI Slit Angled 1.0mmρήθϣϡΪΨΘδΗΖϨϛ΍Ϋ·ΏϯϮΘδϣ ΓήηΎΒϣΔϴΣΰϘϟ΍ϯϮΘδϣϰϠϋ΃ϞΧΪϳϱάϟ΍ΔϴϣΎϣϷ΍ΓήΠΤϟ΍ϲϓΐϠλϖϔϧ˯ΎθϧΈΑϢϗϭΐϠμϟ΍ΐϴΠϟ΍ϲϓΝΓήΑ·ϞΧΩ΃Ύ˱ϳϮτϣMicroShuntϦϣΐΠϳϲΘϟ΍ϭˬΔϳΩΎϣήϟ΍˯Ύϗέΰϟ΍ΔϘτϨϤϠϟϲϔϠΨϟ΍ΪΤϟ΍ ϲΣ΍ήΠϟ΍ϑϮΤϟ΍ϦϣΓήηΎΒϣςγϭϷ΍ΪΤϟ΍Ϟϔγ΃ΔϴϣΎϣϻ΍ΓήΠΤϟ΍ϞΧΩ΃ˬϲΟέΎΧϞϴϟΪϛ ΔϴϘϴΑήΘϟ΍ΔϜΒθϟ΍
ΕΪΟϭϥ·ˬ 6FKZDOEHςΧϊϣΎ˱ϴϠΧ΍Ωΐϛ΍ήΘΗϥ΃ϦϣΏήϘϟΎΑΔϴϧήϘϟ΍ϩΎΠΗΎΑΔϠ΋ΎϤϟ΍ΔϓΎΤϟ΍ϥϮϛϊϣMicroShuntΏϮΒϧ΃ϊοˬϦϨδϣήϴϏςϘϠϣϡ΍ΪΨΘγΎΑΔϴϣΎϣϷ΍ΓήΠΤϟ΍ϲϓMicroShuntϡΎψϧϝΎΧΩ· .ΔΤϳήθϟ΍Ϟϔγ΃ΔϔϨϋΰϟ΍ϊοϭϢΘϳϰΘΣέΎδϤϟ΍ϲϓMicroShuntϝΎΧΩΈΑϢϗˬϖϓήΑΔϳϮΒϠμϟ΍ΔΤϳήθϟ΍΢τδϟ˱Ύϳί΍ϮϣΔϔϨϋΰϟ΍ϪΟϭϰϠϋυΎϔΤϟ΍ϊϣΓήΑϹ΍έΎδϣΎ˱ΒϳήϘΗϢϠϣ1ϢΠΤΑήΧ΁έΎδϣ˯΍ήΟ·ϦϜϤϳϝϮΧΪϟ΍έάόΗ΍Ϋ·ϝϮΧΪϟ΍ΔΑϮόλΓΩΎϳίϭΖϗΆϣϞϜθΑPFMSϡΎψϧ˯ΎϨΤϧ΍ϰϟ·ΓΪ΋΍ΰϟ΍΍ΓϮϘϟ΍ϡ΍ΪΨΘγ΍ϱΩΆϴγΔϳϮΒϠμϟ΍
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ɞɨɜɟɞɟɞɨɫɟɪɢɨɡɧɨɧɚɪɚɧɹɜɚɧɟɨɫɥɟɩɹɜɚɧɟɢɥɢɫɦɴɪɬɧɚɩɚɰɢɟɧɬɚɉɨɜɬɨɪɧɨɬɨɢɡɩɨɥɡɜɚɧɟɨɛɪɚɛɨɬɜɚɧɟɢɥɢ
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ɉɪɢɢɡɩɨɥɡɜɚɧɟɬɨɧɚ00&ɫɢɥɧɨɫɟɩɪɟɩɨɪɴɱɜɚɩɪɟɞɩɪɢɟɦɚɧɟɬɨɧɚɜɫɢɱɤɢɧɟɨɛɯɨɞɢɦɢɩɪɟɞɩɚɡɧɢɦɟɪɤɢ
0LFUR6KXQWɧɟɬɪɹɛɜɚɞɚɛɴɞɟɩɨɫɬɚɜɹɧɜɩɪɹɤɤɨɧɬɚɤɬɫɦɚɬɟɪɢɚɥɢɧɚɨɫɧɨɜɚɬɚɧɚɩɟɬɪɨɥɚɬɭɦ ɬɟɜɚɡɟɥɢɧ ɧɚɩɪɦɚɡɢɥɚɞɢɫɩɟɪɫɢɢɢɬɧ ȿɮɟɤɬɢɬɟɨɬɪɹɡɚɧɟɬɨɢɥɢɦɨɞɢɮɢɰɢɪɚɧɟɬɨɧɚ0LFUR6KXQWɧɟɫɚɨɰɟɧɹɜɚɧɢ
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ɨɩɰɢɹ+30&ɫɥɟɞɜɚɞɚɫɟɢɡɩɨɥɡɜɚɟɞɢɧɫɬɜɟɧɨɜɤɪɚɟɧɫɥɭɱɚɣɡɚɤɨɪɟɤɰɢɹɧɚɩɥɨɫɤɚɤɚɦɟɪɚɧɚɨɤɨɬɨɫ
ɦɢɤɪɨɲɭɧɬ0LFUR6KXQWɢɦɨɠɟɞɚɧɨɫɢɪɢɫɤɨɬɫɩɢɪɚɧɟɧɚɨɬɬɢɱɚɧɟɬɨɩɪɟɡɢɡɞɟɥɢɟɬɨɤɨɣɬɨɦɨɠɟɞɚɫɟɩɪɨɹɜɢ
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Ȼɟɡɨɩɚɫɧɨɫɬɬɚɢɟɮɟɤɬɢɜɧɨɫɬɬɚɧɚɭɩɨɬɪɟɛɚɬɚɧɚɩɨɜɟɱɟɨɬɟɞɢɧɦɢɤɪɨɲɭɧɬ35(6(5)/20LFUR6KXQWɧɟɫɚ
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ɇɟɢɡɩɨɥɡɜɚɣɬɟ0LFUR6KXQWɚɤɨɢɡɝɥɟɠɞɚɞɟɮɨɪɦɢɪɚɧɧɚɝɴɧɚɬɢɢɥɢɢɡɤɪɢɜɟɧ
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ɉɪɢɥɟɱɟɧɢɟɧɚɩɚɰɢɟɧɬɢɫɩɥɢɬɤɚɢɥɢɩɥɨɫɤɚɚɧɬɟɪɢɨɪɧɚɤɚɦɟɪɚɜɴɩɪɟɤɢɱɟɬɨɜɚɟɦɚɥɤɨɜɟɪɨɹɬɧɨɫɴɳɟɫɬɜɭɜɚ
ɜɟɪɨɹɬɧɨɫɬɮɚɪɦɚɤɨɥɨɝɢɱɧɚɬɚɞɢɥɚɬɚɰɢɹɧɚɡɟɧɢɰɚɬɚɩɪɢɬɟɡɢɩɚɰɢɟɧɬɢɞɚɞɨɜɟɞɟɞɨɡɚɩɭɲɜɚɧɟɧɚ0LFUR6KXQW
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ɇɟɤɨɧɬɪɨɥɢɪɚɧɚɩɪɨɝɪɟɫɢɹɧɚɝɥɚɭɤɨɦɚɬɚɭɜɟɥɢɱɚɜɚɧɟɧɚɫɴɨɬɧɨɲɟɧɢɟɬɨɱɚɲɤɚɤɴɦɞɢɫɤ &' ɭɫɥɨɠɧɟɧɢɹ
ɫɜɴɪɡɚɧɢɫɚɧɟɫɬɟɡɢɹɬɚɬɪɭɞɧɨɩɨɫɬɚɜɹɧɟɧɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɧɟɭɫɩɟɲɧɨɢɦɩɥɚɧɬɢɪɚɧɟɧɚɢɡɞɟɥɢɟɬɨ
ɧɟɢɡɩɪɚɜɧɨɫɬɧɚɢɡɞɟɥɢɟɬɨɩɪɟɦɟɫɬɜɚɧɟɧɚɢɡɞɟɥɢɟɬɨɪɚɡɲɢɪɟɧɚɯɢɪɭɪɝɢɱɧɚɩɪɨɰɟɞɭɪɚɦɢɝɪɚɰɢɹɧɚ
ɬɪɴɛɢɱɤɚɬɚɢɡɜɴɧɩɪɟɞɧɚɬɚɤɚɦɟɪɚɩɥɨɫɤɚɩɪɟɞɧɚɤɚɦɟɪɚɩɥɢɬɤɚɩɪɟɞɧɚɤɚɦɟɪɚɩɪɟɤɨɦɟɪɧɨɤɴɪɜɟɧɟ
ɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɨɬɦɹɫɬɨɬɨɧɚɢɧɰɢɡɢɹɬɚɢɥɢɨɬɨɤɨɬɨɞɨɩɢɪɧɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɞɨɪɨɝɨɜɢɰɚɬɚ
ɢɥɢɢɪɢɫɚɬɜɴɪɞɟɜɢɫɨɤɨɢɥɢɬɜɴɪɞɟɧɢɫɤɨɜɴɬɪɟɨɱɧɨɧɚɥɹɝɚɧɟɫɬɪɚɛɢɡɴɦɭɩɨɬɪɟɛɚɧɚɜɢɫɤɨɟɥɚɫɬɢɱɧɢ
ɩɪɨɞɭɤɬɢɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɯɨɪɨɢɞɚɥɟɧɢɡɥɢɜɢɥɢɤɪɴɜɨɢɡɥɢɜɭɫɥɨɠɧɟɧɢɹɨɬɫɬɪɚɧɚɧɚɪɟɬɢɧɚɬɚ ɨɬɥɟɩɜɚɧɟ
ɧɚɪɟɬɢɧɚɬɚɩɪɨɥɢɮɟɪɚɬɢɜɧɚɪɟɬɢɧɨɩɚɬɢɹ ɯɢɮɟɦɚɯɢɩɨɬɨɧɢɹɢɥɢɯɢɩɨɬɨɧɢɱɧɚɦɚɤɭɥɨɩɚɬɢɹɮɬɢɡɢɫ
ɛɭɥɛɢɟɧɨɮɬɚɥɦɢɬɟɪɨɡɢɹɧɚɬɪɴɛɢɱɤɚɬɚɩɪɟɡɤɨɧɸɧɤɬɢɜɚɬɚɱɚɫɬɢɱɧɨɢɥɢɩɴɥɧɨɡɚɩɭɲɜɚɧɟɧɚɬɪɴɛɢɱɤɚɬɚ
ɛɥɨɤɢɪɚɧɟɨɬɢɪɢɫɚɫɬɴɤɥɨɜɢɞɧɨɬɨɬɹɥɨɮɢɛɪɢɧɢɥɢɨɫɬɚɬɴɰɢ ɭɜɟɢɬɢɪɢɬɞɢɩɥɨɩɢɹɧɟɩɪɚɜɢɥɧɨɧɚɫɨɱɜɚɧɟ
ɧɚɬɟɱɧɨɫɬɬɚɪɨɝɨɜɢɱɧɢɭɫɥɨɠɧɟɧɢɹ ɚɛɪɚɡɢɹɨɬɨɤɭɥɰɟɪɰɢɹɢɧɮɟɤɰɢɹɞɟɤɨɦɩɟɧɫɚɰɢɹɛɭɥɨɡɧɚɤɟɪɨɩɚɬɢɹ
ɡɚɝɭɛɚɧɚɟɧɞɨɬɟɥɧɢɤɥɟɬɤɢɞɟɫɰɟɦɟɬɨɜɢɫɬɪɢɢɤɟɪɚɬɢɬ ɱɚɫɬɢɱɧɚɢɥɢɩɴɥɧɚɡɚɝɭɛɚɧɚɡɪɟɧɢɟɡɚɦɴɝɥɟɧɨ
ɡɪɟɧɢɟɢɡɬɢɱɚɧɟɨɬɛɥɟɛɚɛɥɟɛɢɬɤɢɫɬɨɡɟɧɛɥɟɛɧɟɞɨɫɬɚɬɴɱɧɨɫɬɧɚɛɥɟɛɚɩɭɩɢɥɚɪɟɧ ɰɟɧɢɱɟɧ ɛɥɨɤɩɬɨɡɚ
ɨɬɨɤɧɚɦɚɤɭɥɚɬɚɩɪɨɞɴɥɠɢɬɟɥɧɨɜɴɡɩɚɥɟɧɢɟɩɪɢɟɦɧɚɦɟɞɢɤɚɦɟɧɬɢɡɚɝɥɚɭɤɨɦɚɛɨɥɤɚɜɨɤɨɬɨɭɫɥɨɠɧɟɧɢɹ
ɨɬɫɬɪɚɧɚɧɚɤɨɧɸɧɤɬɢɜɚɬɚ ɧɟɩɴɥɧɨɡɚɬɜɚɪɹɧɟɧɚɥɚɦɛɨɬɨ EXWWRQKROH ɞɟɯɢɫɰɟɧɰɢɹɞɢɫɟɤɚɰɢɹɤɪɴɜɨɢɡɥɢɜ
ɯɢɩɟɪɟɦɢɹɰɢɤɚɬɪɢɤɫɪɚɡɤɴɫɜɚɧɟɹɡɜɚ ɚɞɯɟɡɢɢɫɢɧɟɯɢɢɧɚɢɪɢɫɚɚɛɪɚɡɢɹɧɚɢɪɢɫɚɪɚɡɜɢɬɢɟɢɥɢɩɪɨɝɪɟɫɢɹ
ɧɚɤɚɬɚɪɚɤɬɚɧɟɩɪɨɡɪɚɱɧɨɫɬɧɚɡɚɞɧɚɬɚɤɚɩɫɭɥɚɟɤɫɩɥɚɧɬɢɪɚɧɟɧɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɪɟɚɤɰɢɹɧɚ
ɢɧɤɚɩɫɭɥɚɰɢɹɭɫɟɳɚɧɟɡɚɱɭɠɞɨɬɹɥɨɮɢɛɪɢɧɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɭɜɪɟɠɞɚɧɟɧɚɡɪɢɬɟɥɧɨɬɨɩɨɥɟɧɟɩɥɚɧɢɪɚɧɚ
ɩɨɜɬɨɪɧɚɯɢɪɭɪɝɢɱɧɚɢɧɬɟɪɜɟɧɰɢɹɫɜɴɪɡɚɧɚɫɝɥɚɭɤɨɦɚɤɪɴɜɨɢɡɥɢɜɨɬɨɩɬɢɱɧɢɹɞɢɫɤɩɟɪɮɨɪɚɰɢɹɧɚɨɱɧɚɬɚ
ɹɛɴɥɤɚɝɥɚɜɨɛɨɥɢɟɤɪɴɜɨɢɡɥɢɜɜɫɬɴɤɥɨɜɢɞɧɨɬɨɬɹɥɨɢɡɬɢɱɚɧɟɧɚɬɟɱɧɨɫɬɨɬɪɚɧɚɬɚɢɭɫɥɨɠɧɟɧɢɹɫɜɴɪɡɚɧɢ
ɫɲɟɜɨɜɟɬɟ
ɋɌȿɊɂɅɂɁȺɐɂə
ȼɫɢɱɤɢɤɨɦɩɨɧɟɧɬɢɧɚɦɢɤɪɨɲɭɧɬ35(6(5)/20LFUR6KXQWɫɟɞɨɫɬɚɜɹɬɫɬɟɪɢɥɧɢɄɨɦɩɨɧɟɧɬɢɬɟɧɚɦɢɤɪɨɲɭɧɬ
35(6(5)/20LFUR6KXQWɫɟɫɬɟɪɢɥɢɡɢɪɚɬɫɟɬɢɥɟɧɨɜɨɤɫɢɞɫɴɝɥɚɫɧɨɫɬɚɧɞɚɪɬ,62ɋɴɞɴɪɠɚɧɢɟɬɨɳɟ
ɨɫɬɚɧɟɫɬɟɪɢɥɧɨɚɤɨɨɩɚɤɨɜɤɚɬɚɨɫɬɚɧɟɡɚɬɜɨɪɟɧɚɢɰɟɥɨɫɬɬɚɢCɧɟɛɴɞɟɧɚɪɭɲɟɧɚɉɪɢɧɟɩɪɟɞɧɚɦɟɪɟɧɚ
ɡɚɝɭɛɚɧɚɫɬɟɪɢɥɧɨɫɬɢɥɢɩɪɢɨɬɜɚɪɹɧɟɩɨɜɪɟɠɞɚɧɟɧɚɰɟɥɨɫɬɬɚɧɚɨɩɚɤɨɜɤɚɬɚɧɚ35(6(5)/20LFUR6KXQW
ɢɡɞɟɥɢɟɬɨɬɪɹɛɜɚɞɚɫɟɢɡɯɜɴɪɥɢȾȺɇȿɋȿɋɌȿɊɂɅɂɁɂɊȺɉɈȼɌɈɊɇɈ.
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ɢɢɡɥɚɝɚɧɟɧɚɩɪɹɤɚɫɥɴɧɱɟɜɚɫɜɟɬɥɢɧɚɢɜɨɞɚ
ɂɇɋɌɊɍɄɐɂɂɁȺɍɉɈɌɊȿȻȺ
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ɨɛɭɱɟɧɢɟɡɚɪɚɛɨɬɚɫɢɡɞɟɥɢɟɬɨ
ɏɢɪɭɪɝɢɹ
1. Ⱥɧɟɫɬɟɡɢɹɜɢɞɴɬɚɧɟɫɬɟɡɢɹɤɨɹɬɨɬɪɹɛɜɚɞɚɫɟɩɪɢɥɨɠɢɩɨɜɪɟɦɟɧɚɩɪɨɰɟɞɭɪɚɬɚɫɟɨɩɪɟɞɟɥɹɩɨɩɪɟɰɟɧɤɚ
ɧɚɯɢɪɭɪɝɚ
2. ɉɨɞɝɨɬɨɜɤɚɧɚɦɢɤɪɨɲɭɧɬɚ35(6(5)/20LFUR6KXQWɚ Ɉɝɥɟɞɚɣɬɟɜɧɢɦɚɬɟɥɧɨɬɨɪɛɢɱɤɚɬɚɜɤɨɹɬɨɫɟ
ɧɚɦɢɪɚɦɢɤɪɨɲɭɧɬɴɬ35(6(5)/20LFUR6KXQWȺɤɨɨɩɚɤɨɜɤɚɬɚɟɩɨɜɪɟɞɟɧɚɧɟɢɡɩɨɥɡɜɚɣɬɟɭɫɬɪɨɣɫɬɜɨɬɨɛ ɂɡɜɚɞɟɬɟɦɢɤɪɨɲɭɧɬɚ35(6(5)/20LFUR6KXQWɨɬɫɬɟɪɢɥɧɚɬɚɨɩɚɤɨɜɤɚɢɝɨɩɨɫɬɚɜɟɬɟɜɫɬɟɪɢɥɧɨɬɨɩɨɥɟɜ Ɉɜɥɚɠɧɟɬɟɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɫɛɚɥɚɧɫɢɪɚɧɫɨɥɟɜɢɪɚɡɬɜɨɪ %66 
3. ɉɥɚɧɢɪɚɧɟɧɚɩɨɡɢɰɢɹɬɚɧɚɢɦɩɥɚɧɬɚɩɨɫɬɚɜɹɧɟɬɨɧɚ0LFUR6KXQWɫɟɢɡɜɴɪɲɜɚɩɨɩɪɟɰɟɧɤɚɧɚɯɢɪɭɪɝɚɢɥɢ
ɜɫɭɩɟɪɨɧɚɡɚɥɧɢɹɢɥɢɜɫɭɩɟɪɨɬɟɦɩɨɪɚɥɧɢɹɤɜɚɞɪɚɧɬɧɚɨɤɨɬɨɤɚɬɨɫɟɢɡɛɹɝɜɚɬɪɟɤɬɭɫɧɢɬɟɦɭɫɤɭɥɢ
4. ȿɤɚɪɬɢɪɚɧɟɧɚɪɨɝɨɜɢɰɚɬɚɢɫɭɛɤɨɧɸɧɤɬɢɜɧɨɬɨɬɟɧɨɧɨɜɨɬɨɥɚɦɛɨɟɤɚɪɬɢɪɚɣɬɟɪɨɝɨɜɢɰɚɬɚɱɪɟɡɬɪɚɤɰɢɹ
ɫɲɟɜɩɨɩɪɟɰɟɧɤɚɧɚɯɢɪɭɪɝɚȼɦɹɫɬɨɬɨɧɚɩɥɚɧɢɪɚɧɚɬɚɯɢɪɭɪɝɢɱɧɚɩɪɨɰɟɞɭɪɚɧɚɩɪɚɜɟɬɟPPɪɚɡɪɟɡ
ɡɚɩɟɪɢɬɨɦɢɹɫɥɟɞɬɨɜɚɞɢɫɟɤɬɢɪɚɣɬɟɫɭɛɤɨɧɸɧɤɬɢɜɧɨɬɨɬɟɧɨɧɨɜɨɩɪɨɫɬɪɚɧɫɬɜɨɬɨ ɫɨɫɧɨɜɚɜɴɪɯɭɮɨɪɧɢɤɫɚ ɩɨɞɴɝɚɧɚɨɤɪɴɠɧɨɫɬɨɬ±ɨɬɥɢɦɛɭɫɚɞɨɞɴɥɛɨɱɢɧɚɦɢɧɢɦɭɦPPɍɜɟɪɟɬɟɫɟɱɟɧɹɦɚɚɤɬɢɜɧɨ
ɤɪɴɜɨɬɟɱɟɧɢɟɜɨɛɥɚɫɬɬɚɧɚɩɨɥɟɬɨɡɚɢɦɩɥɚɧɬɢɪɚɧɟɧɚɦɢɤɪɨɲɭɧɬɚɂɡɛɹɝɜɚɣɬɟɩɪɟɤɨɦɟɪɧɚɬɚɭɩɨɬɪɟɛɚɧɚ
ɤɚɭɬɟɪɢɤɨɟɬɨɦɨɠɟɞɚɭɜɟɥɢɱɢɪɢɫɤɚɨɬɛɟɥɟɡɢ
ɉɪɢɥɨɠɟɧɢɟɧɚ00&ɩɨɩɪɟɰɟɧɤɚɧɚɯɢɪɭɪɝɚɩɨɫɬɚɜɟɬɟɝɴɛɢɧɚɩɨɟɧɢɫ00&ɜɴɪɯɭɫɤɥɟɪɚɬɚɩɨɞɦɟɯɚɜ
ɫɭɛɤɨɧɸɧɤɬɢɜɧɨɬɨɬɟɧɨɧɨɜɨɬɨɩɪɨɫɬɪɚɧɫɬɜɨɤɚɬɨɫɟɭɜɟɪɢɬɟɱɟɧɟɫɚɜɤɨɧɬɚɤɬɫɪɴɛɚɧɚɤɨɧɸɧɤɬɢɜɧɚɬɚɪɚɧɚ
Ɉɬɫɬɪɚɧɟɬɟɝɴɛɢɬɟɢɢɡɩɥɚɤɧɟɬɟɨɛɢɥɧɨɫɛɚɥɚɧɫɢɪɚɧɫɨɥɟɜɢɪɚɡɬɜɨɪ !PO ɉɨɞɝɨɬɨɜɤɚɧɚɩɨɥɟɬɨɡɚɜɯɨɞɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɉɨɫɬɚɜɟɬɟɦɚɫɬɢɥɨ*HQWLDQ9LROHWɜɬɨɱɤɢɬɟɧɚ
±ɦɢɥɢɦɟɬɪɨɜɢɹɦɚɪɤɟɪ ɫɤɥɟɪɚɥɟɧɦɚɪɤɟɪ ɫɦɚɪɤɟɪɧɚɬɚɩɢɫɚɥɤɚɢɨɬɛɟɥɟɠɟɬɟɬɨɱɤɚɧɚPPɨɬɥɢɦɛɭɫɚ
ɚȺɤɨɢɡɩɨɥɡɜɚɬɟɴɝɥɨɜɞɜɭɨɫɬɴɪɫɤɚɥɩɟɥɫɞɴɥɠɢɧɚPPɜɦɚɪɤɢɪɚɧɚɬɚɬɨɱɤɚɧɚɩɪɚɜɟɬɟɫɤɥɟɪɚɥɟɧ
ɬɭɧɟɥɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚ $& ɤɚɬɨɧɚɜɥɟɡɟɬɟɬɨɱɧɨɧɚɞɪɚɜɧɢɧɚɬɚɧɚɢɪɢɫɚ ɧɢɜɨɧɚɬɪɚɛɟɤɭɥɚɪɧɚɬɚ
ɦɪɟɠɚ ɇɚɜɥɢɡɚɧɟɬɨɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɬɪɹɛɜɚɞɚɫɟɢɡɜɴɪɲɢɬɨɱɧɨɩɨɞɫɪɟɞɧɚɬɚɝɪɚɧɢɰɚɧɚɯɢɪɭɪɝɢɱɧɢɹ
ɥɢɦɛɭɫ ɡɚɞɧɚɬɚɝɪɚɧɢɰɚɧɚɫɢɧɹɬɚɫɢɜɚɬɚɡɨɧɚɱɢɹɬɨɜɴɬɪɟɲɧɚɱɚɫɬɬɪɹɛɜɚɞɚɩɪɢɩɨɤɪɢɜɚɥɢɧɢɹɬɚɧɚ
6FKZDOEH ɜɤɚɱɟɫɬɜɨɬɨɧɚɜɴɧɲɟɧɨɪɢɟɧɬɢɪɚɤɨɟɧɚɥɢɱɟɧɋɤɥɟɪɚɥɧɢɹɬɬɭɧɟɥɟɡɚɜɴɪɲɟɧɤɨɝɚɬɨɜ
ɞɢɫɬɚɥɧɢɹɦɭɤɪɚɣɫɟɨɛɪɚɡɭɜɚɫɤɥɟɪɚɥɟɧɞɠɨɛɫɞɴɥɠɢɧɚPPɤɴɞɟɬɨɞɚɫɟɜɬɴɤɧɟɫɟɝɦɟɧɬɴɬɫɩɟɪɤɢɬɟ
ɧɚ0LFUR6KXQW
ɛȺɤɨɢɡɩɨɥɡɜɚɬɟɴɝɥɨɜɫɥɢɬɫɤɚɥɩɟɥɫɞɴɥɠɢɧɚPPɜɦɚɪɤɢɪɚɧɚɬɚɬɨɱɤɚɧɚɩɪɚɜɟɬɟɩɥɢɬɴɤɫɤɥɟɪɚɥɟɧ
ɞɠɨɛɫɞɴɥɠɢɧɚPPɤɴɞɟɬɨɞɚɫɟɜɬɴɤɧɟɫɟɝɦɟɧɬɴɬɫɩɟɪɤɢɬɟɧɚ0LFUR6KXQWɉɨɫɬɚɜɟɬɟɢɝɥɚɬɚ*ɜɫɤɥɟɪɚɥɧɢɹɞɠɨɛɢɧɚɩɪɚɜɟɬɟɫɤɥɟɪɚɥɟɧɬɭɧɟɥɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɤɚɬɨɧɚɜɥɟɡɟɬɟɬɨɱɧɨɧɚɞɪɚɜɧɢɧɚɬɚɧɚ
ɢɪɢɫɚ ɧɢɜɨɧɚɬɪɚɛɟɤɭɥɚɪɧɚɬɚɦɪɟɠɚ ɇɚɜɥɢɡɚɧɟɬɨɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɬɪɹɛɜɚɞɚɫɟɢɡɜɴɪɲɢɬɨɱɧɨɩɨɞ
ɫɪɟɞɧɚɬɚɝɪɚɧɢɰɚɧɚɯɢɪɭɪɝɢɱɧɢɹɥɢɦɛɭɫ ɡɚɞɧɚɬɚɝɪɚɧɢɰɚɧɚɫɢɧɹɬɚɫɢɜɚɬɚɡɨɧɚɱɢɹɬɨɜɴɬɪɟɲɧɚɱɚɫɬ
ɬɪɹɛɜɚɞɚɩɪɢɩɨɤɪɢɜɚɥɢɧɢɹɬɚɧɚ6FKZDOEH ɜɤɚɱɟɫɬɜɨɬɨɧɚɜɴɧɲɟɧɨɪɢɟɧɬɢɪɚɤɨɟɧɚɥɢɱɟɧ
ɉɨɫɬɚɜɟɬɟɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɫɩɨɦɨɳɬɚɧɚɧɟɧɚɡɴɛɟɧɮɨɪɰɟɩɫ
ɩɨɡɢɰɢɨɧɢɪɚɣɬɟɬɪɴɛɢɱɤɚɬɚɧɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɤɚɬɨɫɤɨɫɟɧɚɬɚɱɚɫɬɟɨɛɴɪɧɚɬɚɤɴɦɪɨɝɨɜɢɰɚɬɚɜ
ɛɥɢɡɨɫɬɞɨɫɤɥɟɪɚɥɧɢɹɞɠɨɛɫɤɥɟɪɚɥɧɢɹɬɭɧɟɥɤɚɬɨɩɪɢɞɴɪɠɚɬɟɥɢɰɟɜɚɬɚɫɬɪɚɧɚɧɚɩɟɪɤɚɬɚɭɫɩɨɪɟɞɧɚɧɚ
ɩɨɜɴɪɯɧɨɫɬɬɚɧɚɫɤɥɟɪɚɬɚȼɤɚɪɚɣɬɟɜɧɢɦɚɬɟɥɧɨ0LFUR6KXQWɜɫɤɥɟɪɚɥɧɢɹɞɠɨɛɫɤɥɟɪɚɥɧɢɹɬɭɧɟɥɞɨɜɬɴɤɜɚɧɟ
ɧɚɩɟɪɤɚɬɚɩɨɞɫɤɥɟɪɚɥɧɢɹɞɠɨɛɂɡɩɨɥɡɜɚɧɟɬɨɧɚɩɪɟɤɨɦɟɪɧɚɫɢɥɚɳɟɞɨɜɟɞɟɞɨɜɪɟɦɟɧɧɨɨɝɴɜɚɧɟɧɚ
0LFUR6KXQWɢɳɟɡɚɬɪɭɞɧɢɜɴɜɟɠɞɚɧɟɬɨɦɭɉɪɢɧɟɜɴɡɦɨɠɧɨɫɬɡɚɞɨɫɬɴɩɦɨɠɟɞɚɛɴɞɟɧɚɩɪɚɜɟɧɞɪɭɝɫɤɥɟɪɚɥɟɧ
ɞɠɨɛɫɤɥɟɪɚɥɟɧɬɭɧɟɥɧɚɪɚɡɫɬɨɹɧɢɟɩɪɢɛɥɢɡɢɬɟɥɧɨPPɨɬɩɴɪɜɢɹɨɬɟɞɧɚɬɚɢɥɢɞɪɭɝɚɬɚɦɭɫɬɪɚɧɚȺɤɨ
ɦɢɤɪɨɲɭɧɬɴɬ0LFUR6KXQWɛɴɞɟɩɨɜɪɟɞɟɧɩɨɜɪɟɦɟɧɚɩɪɨɰɟɞɭɪɚɬɚɢɡɩɨɥɡɜɚɣɬɟɧɨɜɦɢɤɪɨɲɭɧɬ0LFUR6KXQWɢ
ɧɨɜɫɤɥɟɪɚɥɟɧɞɠɨɛɫɤɥɟɪɚɥɟɧɬɭɧɟɥɋɥɟɞɭɫɩɟɲɧɨɬɨɩɨɫɬɚɜɹɧɟɧɚ0LFUR6KXQWɩɪɨɜɟɪɟɬɟɞɚɥɢɩɪɨɤɫɢɦɚɥɧɢɹɬ
ɤɪɚɣɧɚɬɪɴɛɢɱɤɚɬɚɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɧɟɟɜɤɨɧɬɚɤɬɫɪɨɝɨɜɢɰɚɬɚɢɥɢɢɪɢɫɚɤɚɤɬɨɢɱɟɩɪɟɡɞɢɫɬɚɥɧɢɹɢCɤɪɚɣ
ɩɪɨɬɢɱɚɬɟɱɧɨɫɬɋɥɟɞɬɨɜɚɜɬɴɤɧɟɬɟɤɪɚɹɧɚɬɪɴɛɢɱɤɚɬɚɧɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɩɨɞɫɭɛɤɨɧɸɧɤɬɢɜɧɨɬɨ
ɬɟɧɨɧɨɜɨɥɚɦɛɨɧɚɩɨɜɴɪɯɧɨɫɬɬɚɧɚɫɤɥɟɪɚɬɚɤɚɬɨɫɟɭɜɟɪɢɬɟɱɟɧɟɫɟɟɨɝɴɧɚɥɚɢɧɟɟɩɨɩɚɞɧɚɥɚɜ
ɬɟɧɨɧɨɜɚɬɚɤɚɩɫɭɥɚȺɤɨɧɟɟɧɚɥɢɰɟɢɡɬɢɱɚɧɟɩɨɦɢɫɥɟɬɟɡɚɟɞɧɨɢɥɢɩɨɜɟɱɟɨɬɫɥɟɞɧɢɬɟɞɟɣɫɬɜɢɹɩɪɢɥɚɝɚɧɟ
ɧɚɥɟɤɧɚɬɢɫɤɜɴɪɯɭɨɤɨɬɨ ɫɤɥɟɪɚɥɢɦɛɪɨɝɨɜɢɰɚ ɩɴɥɧɟɧɟɧɚɩɪɟɞɧɚɬɚɤɚɦɟɪɚɫɛɚɥɚɧɫɢɪɚɧɫɨɥɟɜɢɪɚɡɬɜɨɪ
%66 ɱɪɟɡɩɚɪɚɰɟɧɬɟɡɚɢɥɢɢɡɩɨɥɡɜɚɧɟɧɚɬɴɧɤɨɫɬɟɧɧɚ ɦɢɥɢɦɟɬɪɨɜɚ ɴɝɥɨɜɚɤɚɧɸɥɚ*ɡɚɢɧɠɟɤɬɢɪɚɧɟ
ɧɚɛɚɥɚɧɫɢɪɚɧɫɨɥɟɜɢɪɚɡɬɜɨɪɜɞɢɫɬɚɥɧɢɹɤɪɚɣɧɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɡɚɨɛɟɡɜɴɡɞɭɲɚɜɚɧɟɧɚɬɪɴɛɢɱɤɚɬɚ
ɉɪɢɥɢɩɫɚɧɚɩɪɨɬɢɱɚɧɟɧɚɬɟɱɧɨɫɬɩɪɨɦɟɧɟɬɟɩɨɡɢɰɢɹɬɚɢɥɢɫɦɟɧɟɬɟɢɡɞɟɥɢɟɬɨ
ɉɪɨɜɟɪɟɬɟɩɨɡɢɰɢɹɬɚɧɚɦɢɤɪɨɲɭɧɬɚɜɴɝɴɥɚɧɚɩɪɟɞɧɚɬɚɤɚɦɟɪɚɩɪɟɩɨɪɴɱɢɬɟɥɧɨɟɞɚɛɴɞɟɧɚɩɪɚɜɟɧɚ
ɢɧɬɪɚɨɩɟɪɚɬɢɜɧɚɝɨɧɢɨɫɤɨɩɢɹɡɚɞɚɛɴɞɟɩɪɟɰɟɧɟɧɚɩɨɡɢɰɢɹɬɚɧɚɩɪɨɤɫɢɦɚɥɧɢɹɤɪɚɣɧɚ0LFUR6KXQWɜɩɪɟɞɧɚɬɚ
ɤɚɦɟɪɚɢɞɚɫɟɭɜɟɪɢɬɟɜɞɨɫɬɚɬɴɱɧɨɬɨɨɬɫɬɨɹɧɢɟɨɬɪɨɝɨɜɢɰɚɬɚɢɢɪɢɫɚ
Ɂɚɬɜɚɪɹɧɟɧɚɤɨɧɸɧɤɬɢɜɚɬɚɜɴɡɫɬɚɧɨɜɟɬɟɩɨɥɨɠɟɧɢɟɬɨɧɚɬɟɧɨɧɨɜɚɬɚɤɚɩɫɭɥɚɢɤɨɧɸɧɤɬɢɜɚɬɚɤɴɦ
ɥɢɦɛɭɫɚɢɡɚɲɢɣɬɟɢɡɩɨɥɡɜɚɣɤɢɤɨɧɰɢɤɨɢɬɨɫɩɟɰɢɚɥɢɫɬɢɬɟɩɨɝɥɚɭɤɨɦɚɢɡɩɨɥɡɜɚɬɫɞɨɤɚɡɚɧɭɫɩɟɯ ɧɚɩɪ
ɧɚɣɥɨɧɨɜɢɢɥɢɨɬYLFU\O Ɂɚɩɪɨɜɟɪɤɚɡɚɢɡɥɢɜɩɪɨɩɭɫɤɚɧɟɧɚɤɨɧɸɧɤɬɢɜɚɬɚɢɡɩɨɥɡɜɚɣɬɟɥɟɧɬɚɫɮɥɭɨɪɟɫɰɟɢɧ
ɤɚɬɨɦɨɠɟɞɚɹɞɨɭɩɥɴɬɧɢɬɟɫɞɨɩɴɥɧɢɬɟɥɧɢɲɟɜɨɜɟɍɜɟɪɟɬɟɫɟɱɟɟɧɚɥɢɰɟɫɥɟɞɧɨɬɨɩɪɨɤɫɢɦɚɥɧɢɹɬɤɪɚɣ
ɧɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɫɟɧɚɦɢɪɚɜɩɪɟɞɧɚɬɚɤɚɦɟɪɚɞɢɫɬɚɥɧɢɹɬɤɪɚɣɧɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɧɟɫɟɟ
ɨɝɴɧɚɥɢɧɟɟɩɨɩɚɞɧɚɥɜɬɟɧɨɧɨɜɚɬɚɤɚɩɫɭɥɚȺɤɨɟɢɡɩɨɥɡɜɚɧɤɨɧɟɰɡɚɪɨɝɨɜɢɱɧɚɬɚɬɪɚɤɰɢɹɬɨɣɬɪɹɛɜɚɞɚɫɟ
ɢɡɜɚɞɢȼɫɥɟɞɨɩɟɪɚɬɢɜɧɢɹɩɟɪɢɨɞɢɡɩɨɥɡɜɚɣɬɟɚɧɬɢɛɢɨɬɢɰɢɢɥɢɫɬɟɪɨɢɞɧɢɦɟɞɢɤɚɦɟɧɬɢɩɨɰɟɥɟɫɴɨɛɪɚɡɧɨɫɬ
ɋɥɟɞɭɩɨɬɪɟɛɚɢɡɯɜɴɪɥɟɬɟɩɪɨɞɭɤɬɚɢɨɩɚɤɨɜɤɚɬɚɜɫɴɨɬɜɟɬɫɬɜɢɟɫɩɨɥɢɬɢɤɚɬɚɧɚɛɨɥɧɢɱɧɢɬɟ
ɚɞɦɢɧɢɫɬɪɚɬɢɜɧɢɬɟɢɢɥɢɩɪɢɥɨɠɢɦɢɬɟɦɟɫɬɧɢɪɚɡɩɨɪɟɞɛɢɋɥɟɞɜɚɣɬɟɢɧɫɬɪɭɤɰɢɢɬɟɡɚɭɩɨɬɪɟɛɚɡɚɩɪɚɜɢɥɧɨ
ɢɡɯɜɴɪɥɹɧɟɧɚ00&ȼɫɥɟɞɨɩɟɪɚɬɢɜɧɢɹɩɟɪɢɨɞ
 ɉɪɨɫɥɟɞɹɜɚɣɬɟɜɴɬɪɟɨɱɧɨɬɨɧɚɥɹɝɚɧɟɩɪɢɜɫɟɤɢɩɨɫɥɟɞɜɚɳɤɨɧɬɪɨɥɟɧɩɪɟɝɥɟɞɡɚɞɚɫɟɭɜɟɪɢɬɟɱɟ
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UHWLQRSDWLD K\IHHPDDOHQWXQXWVLOPlQSDLQHWDLK\SRWRQLDVWDMRKWXYDPDNXODUDSSHXPDSKWKLVLVEXOELHQGRIWDOPLLWWLSXWNHQHURRVLRVLGHNDOYRQOlSLSXWNHQWXNNHXWXPLQHQRVLWWDLQWDLNRNRQDDQ LULNVHQODVLDLVHQ¿EULLQLQWDLOLDQYXRNVL XYHLLWWLLULWLLWWLGLSORSLDQHVWHHQYLUWDXVYllUllQVXXQWDDQVDUYHLVNDOYRNRPSOLNDDWLRW KDQNDXPDWXUYRWXVKDDYDXWXPLQHQLQIHNWLRGHNRPSHQVDDWLRUDNNXODLQHQVDUYHLVNDOYRWDXWLHQGRWHHOLQVROXMHQPHQHW\V'HVFHPHWLQNDOYRQSRLPXWNHUDWLLWWL RVLWWDLQHQWDLWl\GHOOLQHQQl|QPHQHW\VQl|QVDPHQWXPLQHQUDNNXODQYXRWDPLQHQEOHELLWWLN\VWLQHQUDNNXODUDNNXODQHSlRQQLVWXPLQHQPXVWXDLVVDOSDXVSWRRVLPDNXODWXUYRWXVSLWNLWW\Q\WWXOHKGXVJODXNRRPDOllNNHLGHQNl\WW|VLOPlNLSXVLGHNDOYRQNRPSOLNDDWLRW EXWWRQKROHDYDXWXPLQHQGLVVHNWLRYHUHQYXRWRYHUHNN\\VDUSLUHSHlPlKDDYDXPD LLULNVHQDGKHHVLRWV\QHNLDWLLULNVHQKDQNDXPDNDLKLQNHKLWW\PLQHQWDLHWHQHPLQHQWDNDNDSVHOLQRSDVLWHHWWL0LFUR6KXQWJODXNRRPDVXQWLQHNVSODQWRLQWLNRWHORLWXPLVUHDNWLRYLHUDVDLQHUHDNWLR¿EULLQLHWXNDPPLRVVDQlN|NHQWlQYDXULRVXXQQLWWHOHPDWRQJODXNRRPDDQOLLWW\YlXXVLQWDOHLNNDXVRSWLLNNDOHY\QYHUHQYXRWR
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SÄILYTYS
6lLO\WlNRQWUROORLGXVVDKXRQHHQOlPP|VVl & MDVXRMDDOLLDOOLVHOWDNXXPXXGHOWDMDLOPDQNRVWHXGHOWDVXRUDOWDDXULQJRQYDOROWDMDYHGHOWlKÄYTTÖOHJEET.l\WWlMlOOlRQROWDYDDVLDQPXNDLQHQODLWWHHQNl\WW|lNRVNHYDNRXOXWXVHQQHQNl\WW|l
Kirurginen toimenpide:
1. Anestesia:7RLPHQSLWHHVVlNl\WHWWlYlQDQHVWHVLDQW\\SSLRQNLUXUJLQKDUNLQQDVVD
2. PRESERFLO™ MicroShunt -glaukoomasuntin valmisteleminen: D 7DUNDVWD35(6(5)/20LFUR6KXQWJODXNRRPDVXQWLQVLVlOWlYlSXVVLKXROHOOLVHVWL-RVSXVVLRQYDXULRLWXQXWODLWHWWDHLVDDNl\WWllE 2WD35(6(5)/2
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3. Implantin sijaintikohdan suunnitteleminen:0LFUR6KXQWJODXNRRPDVXQWLQVLVllQYLHQWLRQNLUXUJLQKDUNLQQDQPXNDLVWDMRNRVLOPlQVXSHURQDVDDOLVHHQWDLVXSHURWHPSRUDDOLVHHQNYDUWDDOLLQVLOPlOLKDNVLDYlOWWlHQ
4. Sarveiskalvon veto-ommel ja sidekalvo/Tenonin läppä: Suorita sarveiskalvon veto ommelaineella kirurgin
KDUNLQQDQPXNDLVHVWL7HHVXXQQLWHOOXOOHOHLNNDXVDOXHHOOH±PPQSHULWRPLDYLLOWRMDGLVVHNWRLVHQMlONHHQVLGHNDOYRQDODLQHQ7HQRQLQNDSVHOLQDODLQHQWDVNX SRKMXNNDSRKMDLQHQ MRQND\PSlU\VPLWWDRQ±OLPEXNVHQOlKHOWlDLQDNLQPPQV\Y\\WHHQ9DUPLVWDHWWl0LFUR6KXQWJODXNRRPDVXQWLQVXXQQLWHOOXVVDVLVllQYLHQWLNRKGDVVDHL
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MMC:n käyttäminen: .l\Wl00&OOlVDWXURLWXMDVLHQLlNLUXUJLQKDUNLQQDQPXNDLVHVWLNRYDNDOYRVVD
VLGHNDOYRQDODLVHQ7HQRQLQNDSVHOLQDODLVHVVDSXVVLVVDMDYDUPLVWDHWWlQHHLYlWSllVHNRVNHWXNVLLQVLGHNDOYRQKDDYDUHXQDQNDQVVD3RLVWDVLHQHWMDKXXKWHOHUXQVDDOODPllUlOOlEDODQVRLWXDVXRODOLXRVWD !PO Etukammion sisäänmenokohdan valmisteleminen:0HUNLWVHPHUNLQWlN\QlOOl NLGHYLROHWWL ±PPQ
PHUNNLNRKGDW NRYDNDOYRPHUNLW MDPHUNLWVHNRKWDPPQSllKlQOLPEXNVHVWD
D-RVNl\W|VVlRQ1,0 mm:n kaksoiskulmaveitsi/XRPHUNNLNRKGDVWDNRYDNDOYRNDQDYDHWXNDPPLRRQVLWHQHWWlWXORNRKWDRQMXXULLLULNVHQWDVRQ\OlSXROHOOD WUDEHNXODDULVHQYHUNRQWDVROOD 8ONRLVHQDRKMHHQDPHQH
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6FKZDOEHQOLQMDQVLVlOOl MRVVLWlHVLLQW\\MicroShunt-glaukoomasuntin asettaminen etukammioon: Aseta ei-hammastettujen pihtien avulla
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MicroShunt-glaukoomasuntin sijainnin varmistaminen etukammion kulmassa: Leikkauksen aikaista
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Sidekalvon sulkeminen: $VHWD7HQRQLQNDSVHOLMDVLGHNDOYRSDLNDOOHHQOLPEXNVHHQMDNLLQQLWlRPSHOHLOODMRWND
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PRESERFLO™ MicroShuntȅįȘȖȓİȢȤȡȒıȘȢ HOǼǿȈǹīȍīǾ
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ǼĲȚțȑĲİȢĮȞĮĳȠȡȐȢʌİȡȚıĲĮĲȚțȠȪ ȀȐȡĲĮĮıșİȞȠȪȢ 

0LFUR6KXQW ȈȘȝĮȞĲȒȡĮȢıțȜȘȡȠȪȤȚĲȫȞȠȢPP ǻȚĮıĲȐıİȚȢĮȞĮĳȠȡȐȢıİȤȚȜȚȠıĲȩȝİĲȡĮȈȊȃǿȈȉȍȂǼȃǹȆǹȇǼȁȀȅȂǼȃǹ ȆȅȈȅȉǾȉǹ
ȉĮıȣȞȚıĲȫȝİȞĮʌĮȡİȜțȩȝİȞĮĲȠȣ35(6(5)/20LFUR6KXQWȖȚĮȤİȚȡȠȣȡȖȚțȒİʌȑȝȕĮıȘĮȞȐȜȠȖĮȝİĲȘįȚĮȝȩȡĳȦıȘİȓȞĮȚȂĮȡțĮįȩȡȠȢ±ȚȫįİȢīİȞĲȚĮȞȒȢ ȀȣȡĲȩȢıȦȜȘȞȓıțȠȢʌȡȩıșȚȠȣșĮȜȐȝȠȣ*PP ȅĳșĮȜȝȚțȒȜİʌȓįĮ0$1,±īȦȞȚĮțȒȜİʌȓįĮȜİʌĲȒȢıȤȚıȝȒȢPP  ȒȅĳșĮȜȝȚțȒȜİʌȓįĮȂǹȃǿīȦȞȚĮțȒȜİʌȓįĮįȚʌȜȠȪȕȒȝĮĲȠȢPP ȈʌȩȖȖȠȚ  țĮȚǺİȜȩȞĮįȚȩįȠȣıțȜȘȡȠȪȤȚĲȫȞȠȢJ[ ȕİȜȩȞĮ*  ǼȃǻǼǻǼǿīȂǼȃȅǿȋȇǾȈȉǼȈ
ȅȚİȞįİįİȚȖȝȑȞȠȚȤȡȒıĲİȢĲȠȣ35(6(5)/20LFUR6KXQWİȓȞĮȚȠĳșĮȜȝȓĮĲȡȠȚȤİȚȡȠȣȡȖȠȓȠĳșĮȜȝȓĮĲȡȠȚʌȠȣİȚįȚțİȪȠȞĲĮȚıĲȘșİȡĮʌİȓĮĲȠȣȖȜĮȣțȫȝĮĲȠȢ ıȣȝʌİȡȚȜĮȝȕĮȞȠȝȑȞȦȞĲȦȞȤİȚȡȠȣȡȖȫȞʌȠȣİȚįȚțİȪȠȞĲĮȚıĲȘȤİȚȡȠȣȡȖȚțȒĲȠȣʌȡȩıșȚȠȣĲȝȒȝĮĲȠȢțĮȚĲȠȣțĮĲĮȡȡȐțĲȘ ȠȚȠʌȠȓȠȚȑȤȠȣȞİțʌĮȚįİȣĲİȓıĲȘȤȡȒıȘĲȘȢıȣıțİȣȒȢǼȃǻǼǿȄǼǿȈīǿǹȉǾȋȇǾȈǾ
ȉȠ0LFUR6KXQWʌȡȠȠȡȓȗİĲĮȚȖȚĮȝİȓȦıȘĲȘȢİȞįȠĳșȐȜȝȚĮȢʌȓİıȘȢıĲĮȝȐĲȚĮĮıșİȞȫȞȝİʌȡȦĲȠʌĮșȑȢȖȜĮȪțȦĮĮȞȠȚțĲȒȢȖȦȞȓĮȢıĲȠȠʌȠȓȠȘİȞįȠĳșȐȜȝȚĮʌȓİıȘʌĮȡĮȝȑȞİȚĮȞİȟȑȜİȖțĲȘİȞȫȤȠȡȘȖİȓĲĮȚȘȝȑȖȚıĲȘĮȞİțĲȒȚĮĲȡȚțȒșİȡĮʌİȓĮȒțĮȚıİʌİȡȚʌĲȫıİȚȢʌȠȣȘİȟȑȜȚȟȘĲȠȣȖȜĮȣțȫȝĮĲȠȢįȚțĮȚȠȜȠȖİȓĲȘȤİȚȡȠȣȡȖȚțȒİʌȑȝȕĮıȘǼȃǻǼǻǼǿīȂǼȃȅǿǹȈĬǼȃǼǿȈȈȉȅȋǼȊȅȂǼȃǼȈȅȂǹǻǼȈ
ȅʌȜȘșȣıȝȩȢĲȦȞıĲȠȤİȣȩȝİȞȦȞĮıșİȞȫȞİȓȞĮȚİȞȒȜȚțİȢĮıșİȞİȓȢȝİʌȡȦĲȠȖİȞȑȢȖȜĮȪțȦȝĮĮȞȠȚțĲȒȢȖȦȞȓĮȢȩʌȠȣȘǼȅȆʌĮȡĮȝȑȞİȚĮȞİȟȑȜİȖțĲȘİȞȫȕȡȓıțİĲĮȚıĲȘȝȑȖȚıĲȘĮȞİțĲȒȚĮĲȡȚțȒșİȡĮʌİȓĮȒțĮȚȩʌȠȣȘİȟȑȜȚȟȘĲȠȣȖȜĮȣțȫȝĮĲȠȢįȚțĮȚȠȜȠȖİȓȤİȚȡȠȣȡȖȚțȒİʌȑȝȕĮıȘǹȃȉǼȃǻǼǿȄǼǿȈ
ǾİȝĳȪĲİȣıȘĲȠȣ0LFUR6KXQWĮȞĲİȞįİȓțȞȣĲĮȚıĲȚȢĮțȩȜȠȣșİȢʌİȡȚʌĲȫıİȚȢțĮȚțĮĲĮıĲȐıİȚȢīȁǹȊȀȍȂǹȀȁǼǿȈȉǾȈīȍȃǿǹȈȆǹȇȅȊȈǿǹȅȊȁȍȃȉȅȊǼȆǿȆǼĭȊȀȅȉǹȆȇȅǾīȅȊȂǼȃǾȋǼǿȇȅȊȇīǿȀǾǼȆǼȂǺǹȈǾȅĭĬǹȁȂǿȀǾȈȉȅȂǾȈȆȅȊȆǼȇǿǼȁǹȂǺǹȃǼȉȅȃǼȆǿȆǼĭȊȀȅȉǹǳǹȁȁǼȈȆǹĬȅȁȅīǿǼȈȉȅȊǼȆǿȆǼĭȊȀȅȉǹ ȆȋȁǼȆȉȅȈǼȆǿȆǼĭȊȀȅȉǹȈȆȉǼȇȊīǿȅ ȈȉȅȉǼȉǹȇȉǾȂȅȇǿȅȈȉȅȋȅǼȃǼȇīǾȃǼȅǹīīǼǿȍȈǾȉǾȈǿȇǿǻǹȈǼȃǼȇīǾĭȁǼīȂȅȃǾ ȆȋǺȁǼĭǹȇǿȉǿǻǹǼȆǿȆǼĭȊȀǿȉǿǻǹȈȀȁǾȇǿȉǿǻǹȀǼȇǹȉǿȉǿǻǹȇǹīȅǼǿǻǿȉǿǻǹ ȊǹȁȅǼǿǻǼȈȈȍȂǹȈȉȅȃȆȇȅȈĬǿȅĬǹȁǹȂȅȆǹȇȅȊȈǿǹǼȃǻȅĭǹȀȅȊȆȇȅȈĬǿȅȊĬǹȁǹȂȅȊ $&,2/ ǼȃǻȅĭĬǹȁȂǿǹȋȇǾȈǾǼȁǹǿȅȊȈǿȁǿȀȅȃǾȈȆȇȅǼǿǻȅȆȅǿǾȈǼǿȈ
ȂȩȞȠȝİıȣȞĲĮȖȒȚĮĲȡȠȪǾʌȫȜȘıȘĲȘȢıȣıțİȣȒȢĮȣĲȒȢİʌȚĲȡȑʌİĲĮȚȞĮȖȓȞİȚȝȩȞȠȞĮʌȩȚĮĲȡȩȒțĮĲȩʌȚȞİȞĲȠȜȒȢȚĮĲȡȠȪīȚĮİĳȐʌĮȟȤȡȒıȘȝȩȞȠȂȘȞİʌĮȞĮȤȡȘıȚȝȠʌȠȚİȓĲİȠȪĲİȞĮİʌĮȞĮʌȠıĲİȚȡȫȞİĲİǾİʌĮȞĮȤȡȘıȚȝȠʌȠȓȘıȘȒȘİʌĮȞĮʌȠıĲİȓȡȦıȘȝʌȠȡİȓȞĮșȑıȠȣȞıİțȓȞįȣȞȠĲȘįȠȝȚțȒĮȡĲȚȩĲȘĲĮĲȘȢıȣıțİȣȒȢȒțĮȚȞĮȠįȘȖȒıȠȣȞıİȕȜȐȕȘĲȘȢıȣıțİȣȒȢȘȠʌȠȓĮȝİĲȘıİȚȡȐĲȘȢȝʌȠȡİȓȞĮʌȡȠțĮȜȑıİȚıȠȕĮȡȩĲȡĮȣȝĮĲȚıȝȩĮıșȑȞİȚĮĲȣĳȜȩĲȘĲĮȒșȐȞĮĲȠǾİʌĮȞĮȤȡȘıȚȝȠʌȠȓȘıȘȒȘİʌĮȞĮʌȠıĲİȓȡȦıȘȝʌȠȡİȓİʌȓıȘȢȞĮįȘȝȚȠȣȡȖȒıİȚțȓȞįȣȞȠȝȩȜȣȞıȘȢĲȘȢıȣıțİȣȒȢȒțĮȚȞĮʌȡȠțĮȜȑıİȚȜȠȓȝȦȟȘĲȠȣĮıșİȞȠȪȢȒİʌȚȝȩȜȣȞıȘıȣȝʌİȡȚȜĮȝȕĮȞȠȝȑȞȘȢİȞįİȚțĲȚțȐĲȘȢȝİĲȐįȠıȘȢȜȠȚȝȦįȫȞȞȩıȦȞĮʌȩĲȠȞȑȞĮȞĮıșİȞȒıĲȠȞȐȜȜȠǾȝȩȜȣȞıȘĲȘȢıȣıțİȣȒȢȝʌȠȡİȓȞĮȠįȘȖȒıİȚıİĲȡĮȣȝĮĲȚıȝȩĮıșȑȞİȚĮĲȣĳȜȩĲȘĲĮȒșȐȞĮĲȠĲȠȣĮıșİȞȠȪȢȂİĲȐĲȘȤȡȒıȘĮʌȠȡȡȓȥĲİĲȠʌȡȠȧȩȞțĮȚĲȘıȣıțİȣĮıȓĮıȪȝĳȦȞĮȝİĲȚȢʌȡĮțĲȚțȑȢĲȠȣȞȠıȠțȠȝİȓȠȣĲȘȢįȚĮȤİȓȡȚıȘȢȒțĮȚĲȦȞĲȠʌȚțȫȞĮȡȤȫȞȅȚȝĮțȡȠʌȡȩșİıȝİȢİʌȚʌĲȫıİȚȢĲȘȢȝȚĲȠȝȣțȓȞȘȢ& 00& ȝİĲȘȤȡȒıȘĮȣĲȒȢĲȘȢıȣıțİȣȒȢįİȞȑȤȠȣȞĮȟȚȠȜȠȖȘșİȓȈȣȞȚıĲȫȞĲĮȚĮȞİʌȚĳȪȜĮțĲĮȠȚĮȞĮȖțĮȓİȢʌȡȠĳȣȜȐȟİȚȢțĮȚʌĮȡİȝȕȐıİȚȢȖȚĮĲȘȤȡȒıȘ00&ȉȠ0LFUR6KXQWįİȞʌȡȑʌİȚȞĮȣʌȠȕȐȜȜİĲĮȚıİĮʌİȣșİȓĮȢİʌĮĳȒȝİȣȜȚțȐȝİȕȐıȘĲȠʌİĲȡȑȜĮȚȠ įȘȜȖȑȜȘʌİĲȡİȜĮȓȠȣ ʌȤĮȜȠȚĳȑȢİȞĮȚȦȡȒȝĮĲĮțȜʌ ȅȚİʌȚʌĲȫıİȚȢĲȘȢțȠʌȒȢȒĲȘȢĲȡȠʌȠʌȠȓȘıȘȢĲȠȣ0LFUR6KXQWįİȞȑȤȠȣȞĮȟȚȠȜȠȖȘșİȓǻİȞȑȤİȚįȠțȚȝĮıĲİȓȘȤȡȒıȘțȠȜȜȦįȫȞȠȣıȚȫȞȝİĮȣĲȒĲȘıȣıțİȣȒȍıĲȩıȠıİʌİȡȓʌĲȦıȘȑțĲĮțĲȘȢĮȞȐȖțȘȢțĮĲȐĲȘȞȠʌȠȓĮȩȜİȢȠȚȐȜȜİȢșİȡĮʌİȓİȢȑȤȠȣȞĮʌȠĲȪȤİȚȓıȦȢȞĮĮʌȠĲİȜİȓİʌȚȜȠȖȒȘȤȡȒıȘȣįȡȠȟȣʌȡȠʌȣȜȠȝİșȣȜȠțȣĲĲĮȡȓȞȘȢ +30& ǾȤȡȒıȘ+30&șĮʌȡȑʌİȚȞĮȤȡȘıȚȝȠʌȠȚİȓĲĮȚȝȩȞȠȦȢĲİȜİȣĲĮȓĮȜȪıȘȑțĲĮțĲȘȢĮȞȐȖțȘȢȖȚĮĲȘįȚȩȡșȦıȘİʌȓʌİįȠȣșĮȜȐȝȠȣȝİĲȠ0LFUR6KXQWțĮȚȝʌȠȡİȓȞĮįȚĮțȣȕİȪİȚĲȘȞĮʌȫȜİȚĮȡȠȒȢįȚĮȝȑıȠȣĲȘȢıȣıțİȣȒȢȖȚĮȝȓĮȒʌİȡȚııȩĲİȡİȢİȕįȠȝȐįİȢȝİĲȐĲȘȤȡȒıȘțĮșȚıĲȫȞĲĮȢĮȞĮȖțĮȓĮĲȘıĲİȞȒȒʌȚȠĲĮțĲȚțȒʌĮȡĮțȠȜȠȪșȘıȘĲȘȢİȞįȠĳșȐȜȝȚĮȢʌȓİıȘȢȆȇȅĭȊȁǹȄǼǿȈ
ȈİĮıșİȞİȓȢȝİĲȚȢĮțȩȜȠȣșİȢțĮĲĮıĲȐıİȚȢȒʌĮșȒıİȚȢįİȞȑȤİȚĲİțȝȘȡȚȦșİȓȘĮıĳȐȜİȚĮțĮȚȘĮʌȠĲİȜİıȝĮĲȚțȩĲȘĲĮĲȠȣ
0LFUR6KXQWż ȅĳșĮȜȝȠȓȝİȤȡȩȞȚĮĳȜİȖȝȠȞȒż ȅĳșĮȜȝȠȓȝİıȣȖȖİȞȑȢțĮȚȕȡİĳȚțȩȖȜĮȪțȦȝĮż ȅĳșĮȜȝȠȓȝİȞİȠĮȖȖİȚĮțȩȖȜĮȪțȦȝĮż ȅĳșĮȜȝȠȓȝİȡĮȖȠİȚįȑȢȖȜĮȪțȦȝĮż ȅĳșĮȜȝȠȓȝİȥİȣįȠĮʌȠĳȠȜȚįȦĲȚțȩȒȝİȜĮȖȤȡȦȝĮĲȚțȩȖȜĮȪțȦȝĮż ȅĳșĮȜȝȠȓȝİȐȜȜĮįİȣĲİȡȠȖİȞȒȖȜĮȣțȫȝĮĲĮĮȞȠȚțĲȒȢȖȦȞȓĮȢż ȅĳșĮȜȝȠȓʌȠȣȑȤȠȣȞȣʌȠȕȜȘșİȓıİʌȡȠȘȖȠȪȝİȞȘȤİȚȡȠȣȡȖȚțȒĲȠȝȒȖȜĮȣțȫȝĮĲȠȢȒıİʌȡȠȘȖȠȪȝİȞİȢȤİȚȡȠȣȡȖȚțȑȢİʌİȝȕȐıİȚȢțĮĲĮıĲȡȠĳȒȢĲȠȣĮțĲȚȞȦĲȠȪıȫȝĮĲȠȢż ǼȝĳȪĲİȣıȘȝİĲĮȣĲȩȤȡȠȞȘȤİȚȡȠȣȡȖȚțȒİʌȑȝȕĮıȘțĮĲĮȡȡȐțĲȘȝİİȝĳȪĲİȣıȘİȞįȠĳșĮȜȝȚțȠȪĳĮțȠȪ
ǹʌȠĳȪȖİĲİĲȘȤȡȒıȘȠįȠȞĲȦĲȫȞȜĮȕȓįȦȞȖȚĮĲȠȞȤİȚȡȚıȝȩĲȘȢıȣıțİȣȒȢȈȣȞȚıĲȐĲĮȚȘȤȡȒıȘȜĮȕȓįȦȞĲȪʌȠȣ0F3KHUVRQǾǼȅȆĲȠȣĮıșİȞȠȪȢʌȡȑʌİȚȞĮʌĮȡĮțȠȜȠȣșİȓĲĮȚİĲİȖȤİȚȡȘĲȚțȐǹȞȘǼȅȆįİȞįȚĮĲȘȡȘșİȓİʌĮȡțȫȢİĲȐĲȘȤİȚȡȠȣȡȖȚțȒİʌȑȕĮıȘʌȡȑʌİȚȞĮİȟİĲĮıșİȓȘȤȠȡȒȖȘıȘțĮĲȐȜȜȘȜȘȢİʌȚʌȡȩıșİĲȘȢșİȡĮʌİȓĮȢȖȚĮĲȘįȚĮĲȒȡȘıȘĲȘȢǼȅȆǻİȞȑȤİȚĲİțȝȘȡȚȦșİȓȘĮıĳȐȜİȚĮțĮȚȘĮʌȠĲİȜİıȝĮĲȚțȩĲȘĲĮĲȘȢȤȡȒıȘȢʌİȡȚııȩĲİȡȦȞĲȠȣİȞȩȢ35(6(5)/2
MicroShunt.
ǹȞĲȠ0LFUR6KXQWĳĮȞİȓȩĲȚȑȤİȚʌĮȡĮȝȠȡĳȦșİȓįȚʌȜȦșİȓȒțĮȚȑȤİȚȤȐıİȚĲȠıȤȒȝĮĲȠȣȝȘȞĲȠȤȡȘıȚȝȠʌȠȚİȓĲİǾįȘȝȚȠȣȡȖȓĮȒʌİȡȚııȩĲİȡȦȞıȘȡȐȖȖȦȞıțȜȘȡȠȪȤȚĲȫȞȠȢıİȝȚĮʌȡȠıʌȐșİȚĮİȝĳȪĲİȣıȘȢĲȠȣ0LFUR6KXQWȝʌȠȡİȓȞĮʌȡȠțĮȜȑıİȚįȚĮȡȡȠȒȣįĮĲȠİȚįȠȪȢȣȖȡȠȪțĮȚȞĮĮȣȟȒıİȚĲȠȞțȓȞįȣȞȠȣʌȠĲȠȞȓĮȢİȐȞȠȚʌȡȩıșİĲİȢıȒȡĮȖȖİȢıțȜȘȡȠȪȤȚĲȫȞȠȢįİȞĮȣĲȠıĳȡĮȖȓıĲȘțĮȞȒįİȞȑȤȠȣȞıȣȡȡĮĳİȓȀĮĲȐĲȘįȚĮȤİȓȡȚıȘĮıșİȞȫȞȝİȡȘȤȩȒİʌȓʌİįȠʌȡȩıșȚȠșȐȜĮȝȠĮȞțĮȚįİȞİȓȞĮȚʌȚșĮȞȩȞĮıȣȝȕİȓȣʌȐȡȤİȚʌȚșĮȞȩĲȘĲĮȘĳĮȡȝĮțȠȜȠȖȚțȒįȚĮıĲȠȜȒĲȘȢțȩȡȘȢıİĮȣĲȠȪȢĲȠȣȢĮıșİȞİȓȢȞĮʌȡȠțĮȜȑıİȚĲȘȞʌĮȡİȝʌȩįȚıȘĲȠȣ0LFUR6KXQWĮʌȩĲȘȞȓȡȚįĮīȚĮĮȣĲȠȪȢĲȠȣȢĮıșİȞİȓȢıȣȞȚıĲȐĲĮȚȘıȣȤȞȩĲİȡȘʌĮȡĮțȠȜȠȪșȘıȘĲȘȢǼȅȆȝİĲȐĲȘįȚĮıĲȠȜȒȆǿĬǹȃǼȈǼȆǿȆȁȅȀǼȈǹȃǼȆǿĬȊȂǾȉǼȈǼȃǼȇīǼǿǼȈ
ȈĲȚȢİʌȚʌȜȠțȑȢțĮĲȐĲȘįȚȐȡțİȚĮĲȘȢİʌȑȝȕĮıȘȢȒȝİĲȐĮʌȩĮȣĲȒȞȝʌȠȡİȓȞĮʌİȡȚȜĮȝȕȐȞȠȞĲĮȚǹȞİȟȑȜİȖțĲȘİȟȑȜȚȟȘȖȜĮȣțȫȝĮĲȠȢĮȪȟȘıȘĮȞĮȜȠȖȓĮțȣʌȑȜȜȠȣįȓıțȠȣ &' İʌȚʌȜȠțȑȢıȤİĲȚțȑȢȝİĲȘȞĮȞĮȚıșȘıȓĮįȣıțȠȜȓĮıĲȘȞİȚıĮȖȦȖȒĲȠȣ0LFUR6KXQWĮʌȠĲȣȤȓĮİȝĳȪĲİȣıȘȢĲȘȢıȣıțİȣȒȢįȣıȜİȚĲȠȣȡȖȓĮĲȘȢıȣıțİȣȒȢĮȜȜĮȖȒșȑıȘȢĲȘȢıȣıțİȣȒȢİțĲİĲĮȝȑȞȘȤİȚȡȠȣȡȖȚțȒįȚĮįȚțĮıȓĮȝİĲĮȞȐıĲİȣıȘĲȠȣıȦȜȘȞĮȡȓȠȣİțĲȩȢĲȠȣʌȡȩıșȚȠȣșĮȜȐȝȠȣİʌȓʌİįȠȢʌȡȩıșȚȠȢșȐȜĮȝȠȢĮȕĮșȒȢʌȡȩıșȚȠȢșȐȜĮȝȠȢȣʌİȡȕȠȜȚțȒĮȚȝȠȡȡĮȖȓĮĲȠȣʌȡȩıșȚȠȣșĮȜȐȝȠȣȒĲȠȣıȘȝİȓȠȣĲȘȢĲȠȝȒȢȒĲȠȣȠĳșĮȜȝȠȪİʌĮĳȒĲȠȣ0LFUR6KXQWȝİĲȠȞțİȡĮĲȠİȚįȒȤȚĲȫȞĮȒĲȘȞȓȡȚįĮȣʌİȡȕȠȜȚțȐȣȥȘȜȒȒȣʌİȡȕȠȜȚțȐȤĮȝȘȜȒİȞįȠĳșȐȜȝȚĮʌȓİıȘıĲȡĮȕȚıȝȩȢȤȡȒıȘțȠȜȜȫįȠȣȢȠȣıȓĮȢıĲȠȞʌȡȩıșȚȠșȐȜĮȝȠįȚǸįȡȦıȘȒĮȚȝȠȡȡĮȖȓĮĲȠȣȤȠȡȚȠİȚįȠȪȢİʌȚʌȜȠțȑȢĲȠȣĮȝĳȚȕȜȘıĲȡȠİȚįȠȪȢ ĮʌȠțȩȜȜȘıȘĲȠȣĮȝĳȚȕȜȘıĲȡȠİȚįȠȪȢȣʌİȡʌȜĮıĲȚțȒĮȝĳȚȕȜȘıĲȡȠİȚįȠʌȐșİȚĮ ȪĳĮȚȝĮȣʌȠĲȠȞȓĮȒȦȤȡȠʌȐșİȚĮĮʌȩȣʌȠĲȠȞȓĮĳșȓıȘĲȠȣȕȠȜȕȠȪİȞįȠĳșĮȜȝȓĲȚįĮįȚȐȕȡȦıȘĲȠȣıȦȜȘȞĮȡȓȠȣįȚĮȝȑıȠȣĲȠȣİʌȚʌİĳȣțȩĲȠȢĮʌȩĳȡĮȟȘıȦȜȘȞĮȡȓȠȣȝİȡȚțȒȒʌȜȒȡȘȢ ĮʌȩĳȡĮȟȘĮʌȩĲȘȞȓȡȚįĮȒȣĮȜȠİȚįȑȢıȫȝĮȒȚȞȫįİȢȒȟȑȞȠıȫȝĮ ȡĮȖȠİȚįȓĲȚįĮȚȡȓĲȚįĮįȚʌȜȦʌȓĮțĮțȠȒșİȢȖȜĮȪțȦȝĮİʌȚʌȜȠțȑȢĲȠȣțİȡĮĲȠİȚįȠȪȢ İțįȠȡȐȠȓįȘȝĮıȤȘȝĮĲȚıȝȩȢȑȜțȠȣȢȜȠȓȝȦȟȘĮȞİʌȐȡțİȚĮĮȞĲȚıĲȐșȝȚıȘȢʌȠȝĳȠȜȣȖȫįȘȢțİȡĮĲȠʌȐșİȚĮĮʌȫȜİȚĮİȞįȠșȘȜȚĮțȫȞțȣĲĲȐȡȦȞȖȡĮȝȝȫıİȚȢĲȘȢȝİȝȕȡȐȞȘȢ'HVFHPHWțİȡĮĲȓĲȚįĮ ȝİȡȚțȒȒȠȜȚțȒĮʌȫȜİȚĮȩȡĮıȘȢșȠȜȒȩȡĮıȘįȚĮȡȡȠȒĳȣıĮȜȓįĮȢĳȜİȖȝȠȞȒĳȣıĮȜȓįĮȢțȣıĲȚțȒĳȣıĮȜȓįĮĮȞİʌȐȡțİȚĮĳȣıĮȜȓįĮȢțȠȡȚĮȓĮĮʌȩĳȡĮȟȘʌĲȫıȘĲȠȣȐȞȦȕȜİĳȐȡȠȣȠȓįȘȝĮĲȘȢȦȤȡȐȢțȘȜȓįĮȢʌĮȡĮĲİĲĮȝȑȞȘĳȜİȖȝȠȞȒȤȡȒıȘĳĮȡȝȐțȦȞȖȜĮȣțȫȝĮĲȠȢȠĳșĮȜȝȚțȩȐȜȖȠȢİʌȚʌȜȠțȑȢĲȠȣİʌȚʌİĳȣțȩĲȠȢ ĮȞȫȝĮȜȘțİȡĮĲİțĲȠȝȒ țȠȣȝʌȩĲȡȣʌĮ įȚȐȞȠȚȟȘįȚĮȤȦȡȚıȝȩȢĮȚȝȠȡȡĮȖȓĮȣʌİȡĮȚȝȓĮȠȣȜȒȡȒȟȘȑȜțȠȢ ıȣȝĳȪıİȚȢȓȡȚįĮȢĲȡȚȕȒȓȡȚįĮȢĮȞȐʌĲȣȟȘȒİȟȑȜȚȟȘțĮĲĮȡȡȐțĲȘșȠȜİȡȩĲȘĲĮĲȠȣȠʌȓıșȚȠȣʌİȡȚĳĮțȓȠȣİțĳȪĲİȣıȘĲȠȣ0LFUR6KXQWĮȞĲȓįȡĮıȘİȞșȣȜȐțȦıȘȢĮȓıșȘȝĮȪʌĮȡȟȘȢȟȑȞȠȣıȫȝĮĲȠȢȚȞȫįİȢıĲȠȞʌȡȩıșȚȠșȐȜĮȝȠȕȜȐȕȘȠʌĲȚțȠȪʌİįȓȠȣȝȘʌȡȠȖȡĮȝȝĮĲȚıȝȑȞȘȤİȚȡȠȣȡȖȚțȒİʌĮȞİʌȑȝȕĮıȘıȤİĲȚȗȩȝİȞȘȝİȖȜĮȪțȦȝĮĮȚȝȠȡȡĮȖȓĮȠʌĲȚțȒȢșȘȜȒȢįȚȐĲȡȘıȘȕȠȜȕȠȪțİĳĮȜĮȜȖȓĮĮȚȝȠȡȡĮȖȓĮĲȠȣȣĮȜȠİȚįȠȪȢıȫȝĮĲȠȢįȚĮȡȡȠȒĲȡĮȪȝĮĲȠȢțĮȚİʌȚʌȜȠțȑȢıȤİĲȚțȑȢȝİĲĮȡȐȝȝĮĲĮǹȆȅȈȉǼǿȇȍȈǾ
ǵȜĮĲĮİʌȚȝȑȡȠȣȢıĲȠȚȤİȓĮĲȠȣ35(6(5)/20LFUR6KXQWİȓȞĮȚĮʌȠıĲİȚȡȦȝȑȞĮȩĲĮȞʌĮȡĮȜĮȝȕȐȞȠȞĲĮȚȉĮİʌȚȝȑȡȠȣȢıĲȠȚȤİȓĮĲȠȣ35(6(5)/20LFUR6KXQWİȓȞĮȚĮʌȠıĲİȚȡȦȝȑȞĮȝİ(72ıȪȝĳȦȞĮȝİĲȚȢȠįȘȖȓİȢĲȠȣʌȡȠĲȪʌȠȣ
,62ȉȠʌİȡȚİȤȩȝİȞȠʌĮȡĮȝȑȞİȚĮʌȠıĲİȚȡȦȝȑȞȠİțĲȩȢĮȞȘıȣıțİȣĮıȓĮȑȤİȚĮȞȠȚȤĲİȓȒțĮĲĮıĲȡĮĳİȓǹȞĲȠ
35(6(5)/20LFUR6KXQWȤȐıİȚĮțȠȣıȓȦȢĲȘıĲİȚȡȩĲȘĲȐĲȠȣȒĮȞȘıȣıțİȣĮıȓĮȑȤİȚĮȞȠȚȤĲİȓȒțĮȚțĮĲĮıĲȡĮĳİȓĮʌȠȡȡȓȥĲİĲȘıȣıțİȣȒȂǾȃǼȆǹȃǹȆȅȈȉǼǿȇȍȃǼȉǼ.
ĭȊȁǹȄǾ
ĭȣȜȐĲİıİİȜİȖȤȩȝİȞȘșİȡȝȠțȡĮıȓĮįȦȝĮĲȓȠȣ & țĮȚĮʌȠĳİȪȖİĲİĲȘȞȣʌİȡȕȠȜȚțȒșİȡȝȩĲȘĲĮĲȘȞȣʌİȡȕȠȜȚțȒȣȖȡĮıȓĮĲȘȞĮʌİȣșİȓĮȢȘȜȚĮțȒĮțĲȚȞȠȕȠȜȓĮțĮȚĲȠȞİȡȩȅǻǾīǿǼȈȋȇǾȈǾȈ
ȅȤȡȒıĲȘȢʌȡȑʌİȚȞĮİȓȞĮȚțĮĲȐȜȜȘȜĮțĮĲĮȡĲȚıȝȑȞȠȢıĲȘȤȡȒıȘĲȘȢıȣıțİȣȒȢʌȡȚȞĲȘȤȡȘıȚȝȠʌȠȚȒıİȚȋİȚȡȠȣȡȖȚțȒİʌȑȝȕĮıȘ
1. ǹȞĮȚıșȘıȓĮȅĲȪʌȠȢĮȞĮȚıșȘıȓĮȢʌȠȣșĮȤȠȡȘȖȘșİȓİʌĮĳȓİĲĮȚıĲȘįȚĮțȡȚĲȚțȒİȣȤȑȡİȚĮĲȠȣȤİȚȡȠȣȡȖȠȪ
2. ȆȡȠİĲȠȚȝĮıȓĮĲȠȣ35(6(5)/20LFUR6KXQWĮ ǼȟİĲȐıĲİʌȡȠıİțĲȚțȐĲȠıĮțȠȣȜȐțȚʌȠȣʌİȡȚȑȤİȚĲȠ
35(6(5)/20LFUR6KXQWǹȞĲȠıĮțȠȣȜȐțȚȑȤİȚȣʌȠıĲİȓȗȘȝȚȐȝȘȤȡȘıȚȝȠʌȠȚȒıİĲİĲȘıȣıțİȣȒȕ ǹĳĮȚȡȑıĲİĲȠ
35(6(5)/20LFUR6KXQWĮʌȩĲȘȞĮʌȠıĲİȚȡȦȝȑȞȘıȣıțİȣĮıȓĮțĮȚȝİĲĮĳȑȡİĲȑĲȠıĲȠıĲİȓȡȠʌİįȓȠȖ ȊȖȡȐȞİĲİĲȠ
0LFUR6KXQWȝİȚıȠȡȡȠʌȘȝȑȞȠĮȜĮĲȠȪȤȠįȚȐȜȣȝĮ %DODQFHG6DOW6ROXWLRQ%66 
3. ȈȤİįȚĮıȝȩȢșȑıȘȢĲȠȣİȝĳȣĲİȪȝĮĲȠȢǾșȑıȘİȚıĮȖȦȖȒȢĲȠȣ0LFUR6KXQWİʌĮĳȓİĲĮȚıĲȘįȚĮțȡȚĲȚțȒİȣȤȑȡİȚĮĲȠȣȤİȚȡȠȣȡȖȠȪİȓĲİıĲȠȐȞȦȡȚȞȚțȩİȓĲİıĲȠȐȞȦțȡȠĲĮĳȚțȩĲİĲĮȡĲȘȝȩȡȚȠĲȠȣȠĳșĮȜȝȠȪĮʌȠĳİȪȖȠȞĲĮȢĲȠȣȢȠȡșȠȪȢȝȪİȢ
4. ǲȜȟȘĲȠȣțİȡĮĲȠİȚįȠȪȢțĮȚıȤȘȝĮĲȚıȝȩȢțȡȘȝȞȠȪıĲȠȞİʌȚʌİĳȣțȩĲĮĲȠȞĲȑȞȠȞĲĮǼțĲİȜȑıĲİȑȜȟȘĲȠȣțİȡĮĲȠİȚįȠȪȢȝİȑȞĮȡȐȝȝĮİĳȩıȠȞĲȠİʌȚșȣȝİȓȠȤİȚȡȠȣȡȖȩȢȈĲȠıȘȝİȓȠȩʌȠȣʌȡȠȖȡĮȝȝĮĲȓȗİĲĮȚȞĮȖȓȞİȚȘȤİȚȡȠȣȡȖȚțȒİʌȑȝȕĮıȘțȐȞĲİʌİȡȚĲȠȝȒPPțĮȚıĲȘıȣȞȑȤİȚĮțȐȞĲİĮȞĮĲȠȝȒİȞȩȢșȪȜĮțĮ ıȤȒȝĮĲȠȢȥĮȜȓįĮȢ ıĲȠȞȣʌȠİʌȚʌİĳȣțȩĲİȚȠȣʌȠĲİȞȩȞİȚȠȤȫȡȠțĮȜȪʌĲȠȞĲĮȢʌİȡȚĳȑȡİȚĮĮʌȩțȠȞĲȐıĲȘıĲİĳȐȞȘțĮȚȑȦȢȕȐșȠȢĲȠȣȜȐȤȚıĲȠȞPPǺİȕĮȚȦșİȓĲİȩĲȚįİȞȣĳȓıĲĮĲĮȚİȞİȡȖȩȢĮȚȝȠȡȡĮȖȓĮıĲȠıȘȝİȓȠȩʌȠȣʌȡȠȖȡĮȝȝĮĲȓȗİĲĮȚȞĮȖȓȞİȚȘİȓıȠįȠȢĲȠȣ0LFURVKXQWǹʌȠĳȪȖİĲİĲȘȞȣʌİȡȕȠȜȚțȒȤȡȒıȘțĮȣĲȘȡȓĮıȘȢȘȠʌȠȓĮșĮȝʌȠȡȠȪıİȞĮĮȣȟȒıİȚĲȠȞțȓȞįȣȞȠȠȣȜȫȞǼĳĮȡȝȠȖȒĲȠȣ00&ǼĳȩıȠȞĲȠİʌȚșȣȝİȓȠȤİȚȡȠȣȡȖȩȢİĳĮȡȝȩıĲİıʌȩȖȖȠȣȢțȠȡİıȝȑȞȠȣȢȝİ00&ıĲȠȞıțȜȘȡȩȤȚĲȫȞĮțȐĲȦĮʌȩĲȠȞșȪȜĮțĮıĲȠȞȣʌȠİʌȚʌİĳȣțȩĲİȚȠȣʌȠĲİȞȩȞİȚȠȤȫȡȠįȚĮıĳĮȜȓȗȠȞĲĮȢȩĲȚįİȞȑȡȤȠȞĲĮȚıİİʌĮĳȒȝİĲȠȐțȡȠĲȠȣĲȡĮȪȝĮĲȠȢĲȠȣİʌȚʌİĳȣțȩĲĮǹĳĮȚȡȑıĲİĲȠȣȢıʌȩȖȖȠȣȢțĮȚȟİȕȖȐȜĲİȝİȐĳșȠȞȘʌȠıȩĲȘĲĮ%66 !PO ȆȡȠİĲȠȚȝĮıȓĮĲȠȣıȘȝİȓȠȣİȚıȩįȠȣıĲȠȞʌȡȩıșȚȠșȐȜĮȝȠǼʌȚıȘȝȐȞİĲİĲĮıȘȝİȓĮĲȠȣıȘȝĮȞĲȒȡĮPP
ıȘȝĮȞĲȒȡĮȢıțȜȘȡȠȪȤȚĲȫȞȠȢ ȝİĲȠȞȝĮȡțĮįȩȡȠȚȫįİȢīİȞĲȚĮȞȒȢțĮȚıȘȝĮįȑȥĲİȑȞĮıȘȝİȓȠPPĮʌȩĲȘıĲİĳȐȞȘĮǹȞȤȡȘıȚȝȠʌȠȚİȓĲİĲȘȖȦȞȚĮțȒȜİʌȓįĮįȚʌȜȠȪȕȒȝĮĲȠȢPPȈĲȠıȘȝĮįİȝȑȞȠıȘȝİȓȠįȘȝȚȠȣȡȖȒıĲİȝȚĮıȒȡĮȖȖĮıțȜȘȡȠȪȤȚĲȫȞȠȢİȞĲȩȢĲȠȣʌȡȩıșȚȠȣșĮȜȐȝȠȣ $& İȚıİȡȤȩȝİȞȠȚĮțȡȚȕȫȢİʌȐȞȦĮʌȩĲȠİʌȓʌİįȠĲȘȢȓȡȚįĮȢ ȪȥȠȢįȠțȚįȦĲȠȪįȚțĲȪȠȣ īȚĮȤȡȒıȘȦȢİȟȦĲİȡȚțȩȠįȘȖȩİȚıȑȜșİĲİıĲȠȞ$&ĮțȡȚȕȫȢțȐĲȦĮʌȩĲȠȝİıĮȓȠȩȡȚȠĲȘȢȤİȚȡȠȣȡȖȚțȒȢıĲİĳȐȞȘȢ ȠʌȓıșȚȠȩȡȚȠĲȘȢȝʌȜİȖțȡȚȗȫȞȘȢĲȠȠʌȠȓȠșĮʌȡȑʌİȚȞĮİʌȚțĮȜȪʌĲİĲĮȚİıȦĲİȡȚțȐȝİĲȘȖȡĮȝȝȒ6FKZDOEH ĮȞȣʌȐȡȤİȚǾıȒȡĮȖȖĮıțȜȘȡȠȪȤȚĲȫȞȠȢȠȜȠțȜȘȡȫȞİĲĮȚȩĲĮȞįȘȝȚȠȣȡȖİȓĲĮȚȑȞĮȢșȪȜĮțĮȢıțȜȘȡȠȪȤȚĲȫȞȠȢȝȒțȠȣȢPPıĲȠʌİȡȚĳİȡȚțȩȐțȡȠĲȘȢıȒȡĮȖȖĮȢıțȜȘȡȠȪȤȚĲȫȞȠȢȩʌȠȣİȓȞĮȚıĲİȡİȦȝȑȞȠĲȠĲȝȒȝĮȝİĲĮʌĲİȡȪȖȚĮĲȠȣ0LFUR6KXQWȕǹȞȤȡȘıȚȝȠʌȠȚİȓĲİĲȘȖȦȞȚĮțȒȜİʌȓįĮıȤȚıȝȒȢPPȈĲȠıȘȝĮįİȝȑȞȠıȘȝİȓȠįȘȝȚȠȣȡȖȒıĲİȑȞĮȞȡȘȤȩșȪȜĮțĮıțȜȘȡȠȪȤȚĲȫȞȠȢȝȒțȠȣȢPPıĲȠıȘȝİȓȠȩʌȠȣİȓȞĮȚıĲİȡİȦȝȑȞȠĲȠĲȝȒȝĮȝİĲĮʌĲİȡȪȖȚĮĲȠȣ0LFUR6KXQWǼȚıĮȖȐȖİĲİȝȚĮȕİȜȩȞĮ*ıĲȠȞșȪȜĮțĮıțȜȘȡȠȪȤȚĲȫȞȠȢțĮȚįȘȝȚȠȣȡȖȒıĲİȝȚĮıȒȡĮȖȖĮıțȜȘȡȠȪȤȚĲȫȞȠȢİȞĲȩȢĲȠȣ$&İȚıİȡȤȩȝİȞȠȚĮțȡȚȕȫȢİʌȐȞȦĮʌȩĲȠİʌȓʌİįȠĲȘȢȓȡȚįĮȢ ȪȥȠȢįȠțȚįȦĲȠȪįȚțĲȪȠȣ īȚĮȤȡȒıȘȦȢİȟȦĲİȡȚțȩȠįȘȖȩİȚıȑȜșİĲİıĲȠȞ$&ĮțȡȚȕȫȢțȐĲȦĮʌȩĲȠȝİıĮȓȠȩȡȚȠĲȘȢȤİȚȡȠȣȡȖȚțȒȢıĲİĳȐȞȘȢ ȠʌȓıșȚȠȩȡȚȠĲȘȢȝʌȜİȖțȡȚȗȫȞȘȢĲȠȠʌȠȓȠșĮʌȡȑʌİȚȞĮİʌȚțĮȜȪʌĲİĲĮȚİıȦĲİȡȚțȐȝİĲȘȖȡĮȝȝȒ6FKZDOEH ĮȞȣʌȐȡȤİȚǼȚıĮȖȦȖȒĲȠȣ0LFUR6KXQWıĲȠȞʌȡȩıșȚȠșȐȜĮȝȠȋȡȘıȚȝȠʌȠȚȒıĲİȝȚĮȜĮȕȓįĮȤȦȡȓȢȠįȩȞĲİȢȖȚĮȞĮĲȠʌȠșİĲȒıİĲİĲȠıȦȜȘȞȐȡȚȠĲȠȣ0LFUR6KXQWȝİĲȘȜȠȟȒĮțȝȒʌȡȠȢĲȠȞțİȡĮĲȠİȚįȒțȠȞĲȐıĲȠȞșȪȜĮțĮıțȜȘȡȠȪȤȚĲȫȞȠȢĲȘıȒȡĮȖȖĮıțȜȘȡȠȪȤȚĲȫȞȠȢįȚĮĲȘȡȫȞĲĮȢĲĮȣĲȩȤȡȠȞĮĲȘȞʌȡȩıȠȥȘȝİĲĮʌĲİȡȪȖȚĮʌĮȡȐȜȜȘȜȘȝİĲȘȞİʌȚĳȐȞİȚĮĲȠȣțİȡĮĲȠİȚįȠȪȢǼȚıĮȖȐȖİĲİʌȡȠıİțĲȚțȐĲȠ0LFUR6KXQWİȞĲȩȢĲȠȣșȪȜĮțĮıțȜȘȡȠȪȤȚĲȫȞȠȢĲȘȢıȒȡĮȖȖĮȢıțȜȘȡȠȪȤȚĲȫȞȠȢȑȦȢȩĲȠȣĲȠʌĲİȡȪȖȚȠȞĮıĲİȡİȦșİȓțȐĲȦĮʌȩĲȠȞșȪȜĮțĮıțȜȘȡȠȪȤȚĲȫȞȠȢǾȤȡȒıȘȣʌİȡȕȠȜȚțȒȢįȪȞĮȝȘȢȠįȘȖİȓıİʌȡȠıȦȡȚȞȒțȐȝȥȘĲȠȣ0LFUR6KXQWțĮȚĮȣȟȐȞİȚĲȘįȣıțȠȜȓĮİȚıȩįȠȣǹȞįİȞİȓȞĮȚįȣȞĮĲȒȘʌȡȩıȕĮıȘȝʌȠȡİȓȞĮįȘȝȚȠȣȡȖȘșİȓȐȜȜȠȢșȪȜĮțĮȢıțȜȘȡȠȪȤȚĲȫȞȠȢıȒȡĮȖȖĮıțȜȘȡȠȪȤȚĲȫȞȠȢʌİȡȓʌȠȣPPʌȡȠȢȠʌȠȚĮįȒʌȠĲİʌȜİȣȡȐĲȘȢĮȡȤȚțȒȢįȚȩįȠȣǹȞĲȠ0LFUR6KXQWțĮĲĮıĲȡĮĳİȓțĮĲȐĲȘįȚȐȡțİȚĮĲȘȢįȚĮįȚțĮıȓĮȢȤȡȘıȚȝȠʌȠȚȒıĲİȞȑȠ0LFUR6KXQWțĮȚȤȡȘıȚȝȠʌȠȚȒıĲİȞȑȠșȪȜĮțĮıțȜȘȡȠȪȤȚĲȫȞȠȢıȒȡĮȖȖĮıțȜȘȡȠȪȤȚĲȫȞȠȢȂİĲȐĲȘȞİʌȚĲȣȤȒİȚıĮȖȦȖȒĲȠȣ0LFUR6KXQWİȜȑȖȟĲİțĮȚȕİȕĮȚȦșİȓĲİȩĲȚĲȠİȖȖȪȢȐțȡȠĲȠȣıȦȜȘȞĮȡȓȠȣİȞĲȩȢĲȠȣ$&įİȞȑȡȤİĲĮȚıİİʌĮĳȒȝİĲȠȞțİȡĮĲȠİȚįȒȒĲȘȞȓȡȚįĮțĮȚȩĲȚȣʌȐȡȤİȚȣįĮĲȫįȘȢȡȠȒĮʌȩĲȠʌİȡȚĳİȡȚțȩȐțȡȠȈĲİȡİȫıĲİĲȠȐțȡȠĲȠȣ
0LFUR6KXQWțȐĲȦĮʌȩĲȠȞȣʌȠİʌȚʌİĳȣțȩĲİȚȠȣʌȠĲİȞȩȞİȚȠțȡȘȝȞȩıĲȘȞİʌȚĳȐȞİȚĮĲȠȣıțȜȘȡȠȪȤȚĲȫȞĮʌȡȠıȑȤȠȞĲĮȢȞĮİȓȞĮȚȓıȚȠțĮȚȞĮȝȘȞʌȚĮıĲİȓıĲȘȕȠȜȕȚțȒʌİȡȚĲȠȞȓĮǹȞȘȡȠȒįİȞİȓȞĮȚȠȡĮĲȒİȟİĲȐıĲİĲȠİȞįİȤȩȝİȞȠȞĮʌȡȠȕİȓĲİıİȝȓĮĮʌȩĲȚȢİȟȒȢİȞȑȡȖİȚİȢȐıțȘıȘİȜĮĳȡȚȐȢʌȓİıȘȢıĲȠȞȠĳșĮȜȝȩ ıțȜȘȡȩȢȤȚĲȫȞĮȢıĲİĳȐȞȘțİȡĮĲȠİȚįȒȢ ʌȜȒȡȦıȘĲȠȣʌȡȩıșȚȠȣșĮȜȐȝȠȣȝİ%66ȝȑıȦʌĮȡĮțȑȞĲȘıȘȢȒȤȡȒıȘİȞȩȢțȣȡĲȠȪıȦȜȘȞȓıțȠȣ*ȜİʌĲȠȪĲȠȚȤȫȝĮĲȠȢPPȖȚĮȑȖȤȣıȘ%66İȞĲȩȢĲȠȣʌİȡȚĳİȡȚțȠȪȐțȡȠȣĲȠȣ0LFUR6KXQWȫıĲİȞĮȖȓȞİȚȕĮĲȩĲȠıȦȜȘȞȐȡȚȠǹȞįİȞĮʌȠțĮĲĮıĲĮșİȓȘȡȠȒĮȜȜȐȟĲİșȑıȘĲȘȢıȣıțİȣȒȢȒĮȞĲȚțĮĲĮıĲȒıĲİĲȘȞǼʌĮȜȘșİȪıĲİĲȘșȑıȘĲȠȣ0LFUR6KXQWıĲȘȖȦȞȓĮĲȠȣʌȡȩıșȚȠȣșĮȜȐȝȠȣȈȣȞȚıĲȐĲĮȚȞĮİțĲİȜİıĲİȓįȚİȖȤİȚȡȘĲȚțȒȖȦȞȚȠıțȠʌȓĮȫıĲİȞĮĮȟȚȠȜȠȖȘșİȓȘșȑıȘĲȠȣİȖȖȪȢȐțȡȠȣĲȠȣ0LFUR6KXQWİȞĲȩȢĲȠȣʌȡȩıșȚȠȣșĮȜȐȝȠȣȫıĲİȞĮİȟĮıĳĮȜȚıĲİȓȩĲȚȣʌȐȡȤİȚİʌĮȡțȑȢįȚȐțİȞȠĮʌȩĲȠȞțİȡĮĲȠİȚįȒȒĲȘȞȓȡȚįĮȀȜİȓıȚȝȠĲȠȣİʌȚʌİĳȣțȩĲȠȢǼʌĮȞĮĲȠʌȠșİĲȒıĲİĲȘȕȠȜȕȚțȒʌİȡȚĲȠȞȓĮțĮȚĲȠȞİʌȚʌİĳȣțȩĲĮıĲȘıĲİĳȐȞȘțĮȚıĲİȡİȫıĲİȝİȡȐȝȝĮĲĮȝİȝĮțȡȩȤȡȠȞȘȚıĲȠȡȓĮİʌȚĲȣȤȠȪȢȤȡȒıȘȢĮʌȩİȚįȚțȠȪȢıĲȠȖȜĮȪțȦȝĮ įȘȜȞȐȚȜȠȞYLFU\O ȂȚĮȣȖȡĮȝȑȞȘĲĮȚȞȓĮĳșȠȡȚİıțȓȞȘȢȤȡȘıȚȝȠʌȠȚİȓĲĮȚȖȚĮĲȠȞȑȜİȖȤȠȖȚĮĲȣȤȩȞįȚĮȡȡȠȒĲȠȣİʌȚʌİĳȣțȩĲȠȢȘȠʌȠȓĮȝʌȠȡİȓȞĮțȜİȓıİȚȝİİʌȚʌȜȑȠȞȡȐȝȝĮĲĮǼʌĮȜȘșİȪıĲİĲĮĮțȩȜȠȣșĮʌĮȡȠȣıȓĮĲȠȣİȖȖȪȢȐțȡȠȣĲȠȣ0LFUR6KXQWıĲȠȞʌȡȩıșȚȠșȐȜĮȝȠȉȠʌİȡȚĳİȡȚțȩȐțȡȠĲȠȣ0LFUR6KXQWİȓȞĮȚȓıȚȠțĮȚįİȞʌȚȐȞİĲĮȚıĲȘȕȠȜȕȚțȒʌİȡȚĲȠȞȓĮǹȞȤȡȘıȚȝȠʌȠȚȒșȘțİȡȐȝȝĮȑȜȟȘȢĲȠȣțİȡĮĲȠİȚįȠȪȢĮĳĮȚȡȑıĲİĲȠĲȡĮȕȫȞĲĮȢĲȠǼĳĮȡȝȩıĲİĮȞĲȚȕȚȠĲȚțȐțĮȚıĲİȡȠİȚįȒȝİĲİȖȤİȚȡȘĲȚțȐİĳȩıȠȞȤȡİȚȐȗİĲĮȚȂİĲȐĲȘȤȡȒıȘĮʌȠȡȡȓȥĲİĲȠʌȡȠȧȩȞțĮȚĲȘıȣıțİȣĮıȓĮıȪȝĳȦȞĮȝİĲȚȢʌȡĮțĲȚțȑȢĲȠȣȞȠıȠțȠȝİȓȠȣĲȘȢįȚĮȤİȓȡȚıȘȢȒțĮȚĲȦȞĲȠʌȚțȫȞĮȡȤȫȞȉȘȡȒıĲİĲȚȢȠįȘȖȓİȢȤȡȒıȘȢĲȘȢ00&ȖȚĮȠȡșȒĮʌȩȡȡȚȥȘĲȘȢ00&ȂİĲİȖȤİȚȡȘĲȚțȐ ȆĮȡĮțȠȜȠȣșİȓĲİĲȘȞİȞįȠĳșȐȜȝȚĮʌȓİıȘıİțȐșİİʌȓıțİȥȘʌĮȡĮțȠȜȠȪșȘıȘȢȖȚĮȞĮįȚĮʌȚıĲȫıİĲİĮȞĲȠ0LFUR6KXQWʌĮȡĮȝȑȞİȚȕĮĲȩ ǹȞĲȠ0LFUR6KXQWĮȜȜȐȟİȚșȑıȘĮĳĮȚȡİșİȓȒțĮȚĮȞĲȚțĮĲĮıĲĮșİȓȝİȐȜȜȠĲȪʌȠıȣıțİȣȒȢȕȐıİȚĲȘȢĮʌȩįȠıȘȢĲȘȢıȣıțİȣȒȢȠİʌȚʌİĳȣțȫȢʌȡȑʌİȚȞĮțȠʌİȓıĲȘıĲİĳȐȞȘȝİʌĮȡȩȝȠȚȠĲȡȩʌȠȩʌȦȢıĲȘȞĮȡȤȚțȒįȚĮįȚțĮıȓĮǾıȣıțİȣȒʌȡȑʌİȚȞĮİțĲİșİȓțĮȚȞĮįȚİȟĮȤșİȓȘĮȜȜĮȖȒșȑıȘȢȒĮĳĮȓȡİıȒĲȘȢǹȞȘıȣıțİȣȒĮĳĮȚȡİșİȓİʌĮȜȘșİȪıĲİȩĲȚįİȞȣʌȐȡȤİȚȣįĮĲȫįȘȢįȚĮȡȡȠȒĮʌȩĲȘįȓȠįȠǹȞȣʌȐȡȤİȚįȚĮȡȡȠȒıȣȡȡȐȥĲİĲȘįȓȠįȠȖȚĮȞĮĲȘıĳȡĮȖȓıİĲİȉȠțȜİȓıȚȝȠĲȠȣİʌȚʌİĳȣțȩĲĮʌȡȑʌİȚȞĮĮțȠȜȠȣșȒıİȚĲȘȞĮȡȤȚțȒįȚĮįȚțĮıȓĮ
PRESERFLO™ MicroShunt(he ʹʥʮʩʹʺʥʠʸʥʤʤʮʣʷʤʮ´ʮ3-20ʬʹʸʨʥʷʡʤʨʱʥʸʩʰʮʩʥʹʲʤʩʬʸʬʷʱʯʮʱʥPRESERFLO MicroShuntʤʺʠʬʬʥʫPRESERFLO MicroShuntʸʶʥʮʤʸʮʩʬʥʴʮʩʥʹʲʯʷʺʤʤʤʮʥʷʥʠʬʢʩʸʷʮʬʣʲʥʩʮʤʤʬʺʹʤʸʡ ʨʰʠʹ ʦʥʷʩʰʯʷʺʤʠʥʤMicroShuntʩʮʩʰʴʬʬʧʥʸʨʮʥʸʷʩʮʬʹʩʰʥʶʩʧʸʨʥʷʺʬʲʡʺʩʸʥʰʩʶʬʬʥʫʥʸʺʥʩʡʹʩʮʢ6,%6>SRO\ 6W\UHQHEORFN,VR%XW\OHQHEORFN6W\UHQH @ʺʧʺʮʤʬʺʹʤʬʣʲʥʩʮʯʷʺʤʤʺʩʮʣʷʤʤʫʹʬʤʪʥʺʬʺʩʸʥʰʩʶʤʺʣʩʣʰʺʠʺʥʲʰʥʮʤʺʥʹʬʥʹʮʺʥʩʰʥʹʬʯʷʺʤʬʹʩʸʨʮʥʸʷʩʮʸʨʥʷʡʯʥʰʨʺʬʥʱʴʷʬʺʩʮʧʬʬʺʧʺʮʠʶʮʰʹʸʥʦʠʬʤʦʩʸʠʤʩʡʢʬʲʤʢʥʴʺʤʪʩʸʠʺʺʠʷʥʣʡʬʥʣʩʴʷʤ 1ʤʸʨʮʣʲʥʩʮʹʥʮʩʹ
ʺʧʺʮʺʸʶʥʰʤʦʥʷʩʰʺʲʥʡʬʠʯʩʲʤʬʹʺʩʮʣʷʤʤʫʹʬʤʮʤʫʹʬʤʬʦʥʰʭʸʦʺʠʦʷʰʬʩʣʫʺʩʸʥʰʩʶʡʹʮʺʹʮPRESERFLO MicroShuntʪʥʺʡʭʩʩʺʱʮʩʬʨʱʩʣʩʸʥʧʠʤʤʶʷʤʥʬʩʠʥʺʩʮʣʷʤʤʫʹʬʤʪʥʺʬʲʩʢʮʺʩʸʥʰʩʶʤʬʹʩʬʮʩʱʷʥʸʴʩʮʣʷʤʤʶʷʤʯʥʰʨʺʬʥʱʴʷʬʥʺʩʮʧʬʬ
ʬʠʤʥʡʢʵʧʬʤʤʡʹʺʩʮʣʷʤʤʫʹʬʤʮʬʦʥʰʤʬʹʺʩʦʩʴʤʸʡʲʤʺʥʲʶʮʠʡʩʰʩʲʪʥʺʵʧʬʺʩʧʴʮPRESERFLO MicroShuntʤʤʲʥʡʤʸʺʥʩʪʥʮʰʵʧʬʤʤʡʹʤʲʥʡʤʺʥʮʫ PRESERFLO™ MICROSHUNTʺʬʥʫʺ
12 ʭʩʸʷʮʧʥʥʩʣʺʥʩʥʥʺ

1 MicroShunt -1 ʬʴʥʨʮʱʩʨʸʫ

1 ʮʮ3ʸʨʥʷʡʩʬʸʬʷʱʯʮʱʭʩʸʨʮʩʬʩʮʡʭʤʱʥʧʩʩʤʩʣʮʮ

ʺʥʮʫ ʭʩʶʬʮʥʮʭʩʸʦʩʡʠʭʤʤʸʥʶʺʬʭʠʺʤʡʩʢʸʥʸʩʫʪʩʬʤʬPRESERFLO™ MicroShuntʬʹʭʩʶʬʮʥʮʤʭʩʸʦʩʡʠʤ
  1 ʩʰʠʩʶʰʢʬʥʢʱʲʡʶʡ±ʯʥʮʩʱʨʲ
1 ʺʴʴʥʫʮʮʮʪʸʥʠʡ23Gʸʨʥʷʡʺʩʮʣʷʤʫʹʬʺʩʸʥʰʩʶʭʩʩʰʩʲʩʧʥʺʩʰʬʺʲʴʥʹʮʺʩʡʬʹʥʣ0$1,ʯʩʫʱʥʠ 1 ʭʩʩʰʩʲʩʧʥʺʩʰʬʮʮ1.0ʪʸʥʠʡʹʠʸʺʬʲʡʺʲʴʥʹʮʥʺʫʸʠʥʮʤʸʶ0$1,ʯʩʫʱ
1 ʮʮ1.0ʪʸʥʠʡʹʠʸʺʬʲʡʭʢʥ 3 ʺʥʩʢʥʴʱ
1   *ʸʨʥʷʡʨʧʮ  x *ʸʨʥʷʡʩʬʸʬʷʱʡʩʺʰʺʸʩʶʩʬʨʧʮ
ʣʲʩʬʤʷʭʩʧʮʺʮʤʭʩʧʺʰʮʺʥʡʸʬ ʤʮʥʷʥʠʬʢʡʬʥʴʩʨʡʭʩʧʮʺʮʤʭʩʩʰʩʲʩʧʺʰʮʭʩʩʰʩʲʩʠʴʥʸʬʹʭʹʥʮʩʹʬʣʲʥʩʮPRESERFLO MicroShuntʤʸʩʹʫʮʡʹʥʮʩʹʤʬʲʤʸʹʫʤʥʬʡʩʷʹ ʨʷʸʨʷʥʩʮʣʷʲʨʷʮʩʧʥʺʩʰʡʹʥʮʩʹʺʥʩʥʥʺʤ
ʺʠʡʶʩʩʬʯʺʩʰʠʬʭʤʡʹʭʩʸʷʮʡʺʩʥʥʦʺʧʥʺʴʺʩʰʥʹʠʸʤʮʥʷʥʠʬʢʮʭʩʬʡʥʱʤʭʩʬʴʥʨʮʡʩʰʩʲʪʥʺʤʵʧʬʤʺʺʧʴʤʬʣʲʥʩʮMicroShuntʧʥʺʩʰʺʡʩʩʧʮʤʮʥʷʥʠʬʢʤʺʥʮʣʷʺʤʸʹʠʫʥʠʥʬʡʱʰʤʩʡʸʮʤʩʠʥʴʸʤʬʥʴʩʨʤʺʥʲʶʮʠʡʩʰʩʲʪʥʺʤʵʧʬʤ
ʬʥʴʩʨʬʣʲʩʬʤʷ
ʩʰʩʲʪʥʺʤʵʧʬʤʺʠʡʶʩʩʬʯʺʩʰʠʬʭʤʡʹʭʩʸʷʮʡʺʩʥʥʦʺʧʥʺʴʺʩʰʥʹʠʸʤʮʥʷʥʠʬʢʮʭʩʬʡʥʱʤʭʩʸʢʥʡʭʩʬʴʥʨʮʠʩʤʣʲʩʤʺʩʩʱʥʬʫʥʠ
ʧʥʺʩʰʺʡʩʩʧʮʤʮʥʷʥʠʬʢʤʺʥʮʣʷʺʤʸʹʠʫʥʠʥʬʡʱʰʤʩʡʸʮʤʩʠʥʴʸʤʬʥʴʩʨʤʺʥʲʶʮʠʡʣʢʰʺʥʩʥʥʺʤ
ʯʬʤʬʭʩʡʶʮʡʥʺʥʡʩʱʰʡʺʥʮʩʩʷʺʮMicroShuntʺʬʺʹʤʣʢʰʺʥʩʥʥʺʤ
ʩʤʹʬʫʤʩʲʡʡʬʴʨʬʣʲʥʰʹʥʠʺʩʮʧʬʤʺʠʡʸʩʲʥʤʸʬʷʱʤʪʥʺʩʧʡʪʥʸʫʤʩʤʹʭʣʥʷʯʩʲʧʥʺʩʰʺʩʮʧʬʡʺʥʷʬʨʶʤʺʩʥʥʦʺʸʥʢʱʤʮʥʷʥʠʬʢʩʬʥʹʺʷʬʣʤʮʢʥʣʬ ʤʬʩʲʴʺʷʬʣʺʩʺʹʷʡʭʩʹʣʧʭʣʩʬʫʬʹʤʬʩʲʴʺʥʥʤʺʤʤʸʨʮʤʲʩʡʸʡ ʭʥʩʢʩʸʨʴʤʷʣʺʩʮʧʬʬʹʮʬ ʺʩʮʧʬʡ
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ʺʠʶʥʤʺʩʸʥʧʠʤʤʬʥʱʴʷʤʬʹʺʥʮʩʨʠʨʷʸʨʷʺʥʮʣʷʺʤʥʠʨʷʸʨʷʺʥʧʺʴʺʤʺʩʺʹʷʡʺʨʩʸʹʺʩʺʹʷʤʬʹʺʥʩʥʣʮʶʩʤʺʥʩʥʷʡʣʩʤʤʩʩʠʸʤʤʣʹʡʤʲʩʢʴʺʩʮʣʷʤʤʫʹʬʡʯʩʸʡʩʴʺʥʧʫʥʰʸʦʳʥʢʺʹʥʧʺʯʷʺʤʤʡʩʡʱʺʴʨʲʮʺʥʸʶʥʥʩʤ explantation MicroShuntʭʩʫʥʡʩʱʥʲʶʴʤʮʤʴʩʬʣʩʢʥʢʦʤʳʥʢʡʭʥʮʩʣʹʠʸʡʠʫʯʩʲʤʬʢʬʢʡʥʷʩʰʩʨʴʥʠʤʷʱʩʣʡʭʥʮʩʣʤʮʥʷʥʠʬʢʬʸʥʹʷʤʯʰʫʥʺʮʠʬʸʦʥʧʧʥʺʩʰʭʩʸʴʺʬʭʩʸʥʹʷʤ
ʸʥʷʩʲ
ʯʬʩʺʠʺʥʲʶʮʠʡʭʩʸʷʥʲʮPRESERFLO™ MicroShuntʩʡʩʫʸ ʭʩʸʷʥʲʮ ʭʩʩʬʩʸʨʱʭʩʲʩʢʮPRESERFLO™ MicroShuntʩʡʩʫʸʬʫ
MicroShuntʬʹʺʥʩʬʩʸʨʱʤʺʥʲʨʡʭʠʤʷʥʦʩʰʥʠʺʧʺʴʰʤʦʩʸʠʤʭʠʨʲʮʬʺʩʬʩʸʨʱʺʸʺʥʰʤʬʥʫʺʤ,62ʺʥʩʧʰʤʩʴʬʣʩʱʷʥʠʺʩʰʹʡʸʷʲʬʯʩʠʯʷʺʤʤʺʠʪʩʬʹʤʬʹʩʤʷʥʦʩʰʥʠʥʺʧʺʴʰʤʦʩʸʠʤʭʠʥʠʺʲʢʴʰʯʥʱʧʠʭʩʮʥʸʩʹʩʹʮʹʸʥʠʸʺʩʺʥʧʬʸʺʩʭʥʧʬʤʴʩʹʧʮʲʰʮʩʤʬʥ  & ʺʸʷʥʡʮʸʣʧʺʸʥʨʸʴʮʨʡʯʱʧʠʬʹʩ
ʹʥʮʩʹʺʥʠʸʥʤʬʲʥʴʡʹʥʮʩʹʤʭʸʨʯʷʺʤʡʹʥʮʩʹʤʩʡʢʬʤʺʥʠʰʤʸʹʫʤʸʥʡʲʬʡʩʩʧʹʮʺʹʮʤ
ʧʥʺʩʰʧʺʰʮʤʺʨʬʧʤʬʯʥʺʰʪʩʬʤʤʪʹʮʡʯʺʩʰʹʤʮʣʸʤʤʸʮʥʧʢʥʱʤʮʣʸʤ .1ʬʠʷʥʦʩʰʷʩʷʹʤʭʠPRESERFLO™ MicroShuntʺʠʬʩʫʮʹʷʩʷʹʤʺʠʤʣʩʴʷʡʯʧʡ ʠ:PRESERFLO™ MicroShuntʺʰʫʤ .2
PRESERFLO™ʺʠʡʨʸʤ ʢʩʬʩʸʨʱʤʤʣʹʡʧʰʤʥʺʩʬʩʸʨʱʤʤʦʩʸʠʤʮPRESERFLO™ MicroShuntʺʠʠʶʥʤ ʡʯʷʺʤʡʹʮʺʹʺ
 %66 ʺʰʦʥʠʮʧʬʮʺʱʩʮʺʡMicroShuntʺʥʲʰʮʩʤʪʥʺʯʥʩʬʲʤʩʺʷʸʤʥʠʯʥʩʬʲʤʩʴʠʤʯʩʲʤʲʩʡʸʪʸʣʧʺʰʮʤʺʸʩʧʡʬʯʥʺʰMicroShuntʺʸʣʧʤʯʴʥʠʬʺʹʮʤʭʥʷʩʮʺʸʩʧʡ .3
ʭʩʸʹʩʤʭʩʸʩʸʹʤʪʸʣʸʡʲʮʮʢʥʱʮʤʸʩʴʺʨʥʧʺʥʲʶʮʠʡʤʬʲʮʩʴʬʫʺʩʰʸʷʤʺʫʩʹʮʬʤʬʥʲʴʲʶʡʬʯʺʩʰʯʥʰʨʺʬʥʱʴʷʺʩʮʧʬʡʤʬʺʮʺʸʩʶʩʥʺʩʰʸʷʤʺʫʩʹʮ .4
ʸʧʠʬʥʮʮʣʲʪʸʥʠʡ peritomy ʱʥʡʮʩʬʡʪʺʧʲʶʡʣʲʥʩʮʤʧʥʺʩʰʤʸʥʦʠʡʧʺʰʮʤʬʹʥʺʲʣʬʥʷʩʹʩʴʬ
ʣʲʱʥʡʮʩʬʬʤʡʥʸʷʤʤʣʥʷʰʮʣʲʯʡʳʷʩʤʩʰʴʬʲ ʱʷʩʰʸʥʴʺʮʷʸʮʸʷʩʲʡʩʥʹʲʹ ʯʥʰʨʺʬʥʱʴʷʬʺʩʮʧʬʬʺʧʺʮʱʩʫʪʥʺʧʯʫʮʸʩʡʢʬʤʬʥʬʲʠʩʤʹʯʥʥʩʫʮʤʡʩʸʶʡʸʺʩʹʥʮʩʹʮʲʰʮʩʤMicroShuntʺʱʰʫʤʬʣʲʥʩʮʤʸʥʦʠʡʬʩʲʴʭʥʮʩʣʯʩʠʹʠʣʥʺʥʧʴʬʮʮʷʮʥʲʬ
ʺʥʷʬʨʶʤʬʯʥʫʩʱʤʺʠ
ʺʬʥʱʴʷʬʺʩʮʧʬʬʺʧʺʮʠʶʮʰʹʱʩʫʬʺʧʺʮʤʸʬʷʱʤʬʲ00&ʡʥʬʡʨʰʹʺʥʩʢʥʴʱʧʰʤʧʺʰʮʤʬʹʥʺʲʣʬʥʷʩʹʩʴʬ:MMCʡʹʥʮʩʹ . ʬʮ20 %66ʬʹʺʥʡʩʣʰʺʥʩʥʮʫʡʳʥʨʹʥʺʥʩʢʥʴʱʤʺʠʠʶʥʤʺʩʮʧʬʡʲʶʴʤʤʶʷʡʥʲʢʩʩʠʬʯʤʹʣʴʷʤʥʯʥʰʨʲʡʶʡʮʮ20ʣʲ3ʸʨʥʷʡ ʩʬʸʬʷʱʤ ʯʮʱʤʺʥʣʥʷʰʺʠʯʥʮʩʱʤʨʲʺʥʲʶʮʠʡʥʩʣʡʯʮʱʺʩʮʣʷʤʤʫʹʬʤʬʠʤʸʩʣʧʤʺʣʥʷʰʺʰʫʤ .
ʱʥʡʮʩʬʤʮʮʮ3ʷʧʸʮʡʤʣʥʷʰʯʮʱʥʩʰʠʩʶʰʢʬʥʢʱ
ʪʥʺʬʺʩʬʸʬʷʱʤʬʲʺʸʥʶʤʰʮʥʱʹʤʣʥʷʰʡ:ʮʮ1.0ʪʸʥʠʡʹʠʸʺʬʲʡʺʲʴʥʹʮʺʩʡʬʹʥʣ MANIʯʩʫʱʡʹʥʮʩʹʤʹʲʰʭʠʠ
ʷʥʩʣʡʺʩʮʣʷʤʤʫʹʬʤʬʠʱʰʫʩʤʬʹʩʺʩʰʥʶʩʧʤʰʥʥʫʤʸʥʺʡ ʺʩʸʬʥʷʡʸʨʤʺʹʸʤʥʷʡ ʺʩʺʹʷʤʸʥʹʩʮʬʲʮʷʥʩʣʡʺʩʮʣʷʤʤʫʹʬʤ
ʺʰʫʤʭʩʩʷʭʠ ʯʩʲʤʪʥʺʡʡʬʠʥʥʹʥʷʬʲʮʸʥʴʠʤʬʥʧʫʤʸʥʦʠʤʬʹʩʸʥʧʠʤʬʥʡʢʤ ʩʧʥʺʩʰʤʱʥʡʮʩʬʤʬʹʩʲʶʮʠʤʬʥʡʢʬʺʧʺʮ
ʺʩʰʥʹʬʤʱʰʫʥʺʥʩʬʠʥʺʩʬʸʬʷʱʤʤʬʲʺʤʬʹʩʬʨʱʩʣʤʤʶʷʡʮʮ2ʪʸʥʠʡʩʬʸʬʷʱʱʩʫʬʹʥʺʸʩʶʩʭʲʺʮʩʩʺʱʮʺʩʬʸʬʷʱʤʤʬʲʺʤ
.MicroShuntʬʹʣʥʣʸʩʬʸʬʷʱʱʩʫʸʥʶʤʰʮʥʱʹʤʣʥʷʰʡ:ʮʮ1.0ʪʸʥʠʡʹʠʸʺʬʲʡʺʲʴʥʹʮʥʺʫʸʠʥʮʤʸʶ MANIʯʩʫʱʡʹʥʮʩʹʤʹʲʰʭʠʡ
ʪʥʺʬʺʩʬʸʬʷʱʤʬʲʺʸʥʶʥʩʬʸʬʷʱʤʱʩʫʤʪʥʺʬ*ʸʨʥʷʡʨʧʮʸʣʧʤMicroShuntʬʹʺʩʰʥʹʬʤʱʰʫʥʺʥʩʬʠʥʮʮ2ʪʸʥʠʡʷʥʩʣʡʺʩʮʣʷʤʤʫʹʬʤʬʠʱʰʫʩʤʬʹʩʺʩʰʥʶʩʧʤʰʥʥʫʤʸʥʺʡ ʺʩʸʬʥʷʡʸʨʤʺʹʸʤʥʷʡ ʺʩʺʹʷʤʸʥʹʩʮʬʲʮʷʥʩʣʡʺʩʮʣʷʤʤʫʹʬʤ
ʭʩʩʷʭʠ ʯʩʲʤʪʥʺʡʡʬʠʥʥʹʥʷʬʲʮʸʥʴʠʤʬʥʧʫʤʸʥʦʠʤʬʹʩʸʥʧʠʤʬʥʡʢʤ ʩʧʥʺʩʰʤʱʥʡʮʩʬʤʬʹʩʲʶʮʠʤʬʥʡʢʬʺʧʺʮ
ʤʶʷʤʹʪʫMicroShuntʺʩʸʥʰʩʶʺʠʭʷʮʭʩʰʰʥʹʮʺʥʥʶʷʠʬʬʭʩʩʧʷʬʮʺʥʲʶʮʠʡ ʺʩʮʣʷʤʤʫʹʬʤʪʥʺʬMicroShuntʺʸʣʧʤ .ʸʣʧʤʩʬʸʬʷʱʤʧʨʹʤʩʰʴʬʥʬʩʡʷʩʺʩʰʥʹʬʤʩʰʴʹʣʴʷʤʥʺʩʬʸʬʷʱʤʤʬʲʺʤʩʬʸʬʷʱʤʱʩʫʤʬʠʡʥʸʷʺʩʰʸʷʤʸʡʲʬʤʰʴʩʲʴʥʹʮʤʭʥʸʢʩʦʸʴʥʮʧʥʫʡʹʥʮʩʹʩʬʸʬʷʱʤʱʩʫʬʺʧʺʮʱʰʫʥʺʺʩʰʥʹʬʤʹʣʲʺʩʬʸʬʷʱʤʤʬʲʺʤʩʬʸʬʷʱʤʱʩʫʤʪʥʺʬMicroShuntʺʠʺʥʰʩʣʲʡʣʧʠʡʮʮ1ʫʬʹʷʧʸʮʡʤʹʣʧʺʩʬʸʬʷʱʤʬʲʺʩʬʸʬʷʱʱʩʫʸʥʶʩʬʯʺʩʰʤʹʩʢʯʩʠʭʠʥʺʱʰʫʤʺʠʤʹʷʩʥMicroShuntʬʹʩʰʮʦʳʥʴʩʫʬ
ʤʹʣʧʺʩʬʸʬʷʱʤʬʲʺʩʬʸʬʷʱʱʩʫʡʥʹʣʧMicroShuntʡʹʮʺʹʤʪʩʬʤʤʪʹʮʡʷʥʦʩʰMicroShuntʤʭʠʩʸʥʷʮʤʡʩʺʰʤʩʣʩʶʮ
ʹʩʹʥʺʩʺʹʷʡʥʠʺʩʰʸʷʡʲʢʥʰʠʬʺʩʮʣʷʤʤʫʹʬʡʺʩʸʥʰʩʶʤʬʹʩʬʮʩʱʷʥʸʴʤʤʶʷʤʹʷʥʣʡMicroShuntʬʹʺʧʬʶʥʮʤʤʸʣʧʤʤʸʧʠʬʧʨʹʤʩʰʴʬʲʯʥʰʨʺʬʥʱʴʷʬʺʩʮʧʬʬʺʧʺʮʹʤʬʺʮʬʺʧʺʮMicroShuntʺʩʸʥʰʩʶʬʹʤʶʷʤʺʠʭʩʹʩʬʨʱʩʣʤʤʶʷʤʮʤʫʹʬʬʦʥʰʺʮʩʸʦʵʧʬʺʬʲʴʤʺʥʠʡʤʺʥʬʥʲʴʤʮʸʺʥʩʥʠʺʧʠʺʠʬʥʷʹʤʮʩʸʦʡʯʩʧʡʤʬʯʺʩʰʠʬʭʠʯʥʰʨʺʬʥʱʴʷʡʱʴʺʰʠʬʥʸʹʩʤʶʷʤʹʷʥʣʡʥʩʬʸʬʷʱʤʺʴʴʥʫʮʮʮʪʸʥʠʡ23Gʸʨʥʷʡʺʩʸʥʰʩʶʡʹʥʮʩʹʥʠʸʥʷʩʰʩʣʩʬʲ%66ʡʺʩʮʣʷʤʤʫʹʬʤʩʥʬʩʮ ʺʩʰʸʷʱʥʡʮʩʬʤʸʬʷʱ ʯʩʲʤʬʲʬʷ
ʭʥʷʩʮʺʠʤʰʹʤʮʩʸʦʺʸʶʥʰʠʬʭʠʺʩʸʥʰʩʶʤʺʠʠʬʮʬʩʣʫMicroShuntʬʹʩʬʨʱʩʣʤʤʶʷʤʪʥʺʬ%66ʷʩʸʦʤʬʩʣʫʤʷʣʯʴʥʣʺʬʲʡʥʥʺʥʠʳʬʧʤʥʠʯʷʺʤʤ
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Zabieg chirurgiczny:
1. Znieczulenie:&KLUXUJSRZLQLHQSRGMąüGHF\]MĊRGQRĞQLHURG]DMX]QLHF]XOHQLDNWyUHPDE\ü]DVWRVRZDQHSRGF]DV]DELHJX
2. Przygotowanie PRESERFLO™ MicroShunt: D 'RNáDGQLHVSUDZG]LüWRUHENĊ]DZLHUDMąFą35(6(5)/2
0LFUR6KXQW-HĪHOLWRUHENDMHVWXV]NRG]RQDXU]ąG]HQLDQLHQDOHĪ\XĪ\ZDüE :\Mąü35(6(5)/20LFUR6KXQW]HVWHU\OQHJRRSDNRZDQLDQDVWHU\OQHSROHF =ZLOĪ\ü0LFUR6KXQW]UyZQRZDĪRQ\PUR]WZRUHPVROL %66 
3. Zaplanowanie miejsca umieszczenia implantu:'HF\]MĊRPLHMVFXXPLHV]F]HQLD0LFUR6KXQWSRGHMPLHFKLUXUJZNZDGUDQFLHJyUQRQRVRZ\POXEJyUQRVNURQLRZ\PRNDRPLMDMąFPLĊĞQLHSURVWH
4. 2GFLąJQLĊFLHURJyZNLWRUHENL7HQRQD'RGHF\]MLFKLUXUJDSR]RVWDZLDVLĊRGFLąJQLĊFLHURJyZNL]DSRPRFąQLFLFKLUXUJLF]Q\FK:SODQRZDQ\PREV]DU]HFKLUXUJLF]Q\PZ\NRQDüSHULWRPLĊPPQDVWĊSQLHQDFLĊFLHSRGSáDWNLHPSRGVSRMyZNRZ\PWRUHENą7HQRQD]SRGVWDZąZ]DáDPNXQDREZRG]LHRGRNROLF\UąENDLQDJáĊERNRĞüFRQDMPQLHMPP1DOHĪ\XSHZQLüVLĊĪHZSODQRZDQ\PREV]DU]HZSURZDG]HQLDUXUNL0LFUR6KXQWQLHZ\VWĊSXMHDNW\ZQHNUZDZLHQLH8QLNDüQDGPLHUQHMNDXWHU\]DFMLNWyUDPRĪH]ZLĊNV]\üU\]\NREOL]QRZDFHQLD
Zastosowanie MMC: -HĪHOLFKLUXUJSRGHMPLHWDNąGHF\]MĊQDWZDUGyZNĊSRGSáDWNLHPSRGVSRMyZNRZ\PWRUHENą
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INTRODUCERE
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Ɇɢɤɪɨɲɭɧɬ35(6(5)/20LFUR6KXQWɫɨɫɬɨɢɬɢɡɦɢɤɪɨɲɭɧɬɚ35(6(5)/20LFUR6KXQWɢFɤɥɟɪɚɥɶɧɨɝɨɦɚɪɤɟɪɚ
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ɤɨɧɟɰɬɪɭɛɤɢɩɪɨɯɨɞɢɬɜɩɟɪɟɞɧɸɸɤɚɦɟɪɭɚɡɚɞɧɢɣɞɢɫɬɚɥɶɧɵɣɤɨɧɟɰɡɚɤɚɧɱɢɜɚɟɬɫɹɜɩɭɡɵɪɟɆɢɤɪɨɲɭɧɬ
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ɋɨɡɞɚɧɢɟɞɜɭɯɢɥɢɛɨɥɟɟɫɤɥɟɪɚɥɶɧɵɯɬɭɧɧɟɥɟɣɞɥɹɢɦɩɥɚɧɬɚɰɢɢɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɦɨɠɟɬɩɪɢɜɟɫɬɢɤ
ɭɬɟɱɤɟɜɧɭɬɪɢɝɥɚɡɧɨɣɠɢɞɤɨɫɬɢɢɩɨɜɵɲɟɧɢɸɪɢɫɤɚɝɢɩɨɬɨɧɢɢɟɫɥɢɞɨɩɨɥɧɢɬɟɥɶɧɵɟɫɤɥɟɪɚɥɶɧɵɟɬɭɧɧɟɥɢɧɟ
ɡɚɤɪɨɸɬɫɹɫɚɦɨɫɬɨɹɬɟɥɶɧɨɢɥɢɧɟɧɚɧɢɯɧɟɛɭɞɭɬɧɚɥɨɠɟɧɵɲɜɵ
ɉɪɢɥɟɱɟɧɢɢɩɚɰɢɟɧɬɨɜɫɧɟɝɥɭɛɨɤɨɣɢɥɢɩɥɨɫɤɨɣɩɟɪɟɞɧɟɣɤɚɦɟɪɨɣɯɨɬɹɷɬɨɢɦɚɥɨɜɟɪɨɹɬɧɨɫɭɳɟɫɬɜɭɟɬ
ɜɟɪɨɹɬɧɨɫɬɶɬɨɝɨɱɬɨɮɚɪɦɚɤɨɥɨɝɢɱɟɫɤɨɟɪɚɫɲɢɪɟɧɢɟɡɪɚɱɤɚɭɷɬɢɯɩɚɰɢɟɧɬɨɜɦɨɠɟɬɩɪɢɜɟɫɬɢɤɨɛɫɬɪɭɤɰɢɢ
ɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɪɚɞɭɠɤɨɣȾɥɹɬɚɤɢɯɩɚɰɢɟɧɬɨɜɪɟɤɨɦɟɧɞɭɟɬɫɹɛɨɥɟɟɱɚɫɬɵɣɤɨɧɬɪɨɥɶȼȽȾɩɨɫɥɟ
ɪɚɫɲɢɪɟɧɢɹɡɪɚɱɤɚ
ȼɈɁɆɈɀɇɕȿɈɋɅɈɀɇȿɇɂəɇȿɀȿɅȺɌȿɅɖɇɕȿəȼɅȿɇɂə
ȼɨɜɪɟɦɹɢɩɨɫɥɟɨɩɟɪɚɰɢɢɦɨɝɭɬɜɨɡɧɢɤɚɬɶɫɥɟɞɭɸɳɢɟɨɫɥɨɠɧɟɧɢɹ
ɇɟɤɨɧɬɪɨɥɢɪɭɟɦɚɹɩɪɨɝɪɟɫɫɢɹɝɥɚɭɤɨɦɵɭɜɟɥɢɱɟɧɢɟɫɨɨɬɧɨɲɟɧɢɹɞɢɚɦɟɬɪɚɷɤɫɤɚɜɚɰɢɢɤɞɢɫɤɭɡɪɢɬɟɥɶɧɨɝɨɧɟɪɜɚ
ɨɫɥɨɠɧɟɧɢɹɧɚɮɨɧɟɚɧɟɫɬɟɡɢɢɡɚɬɪɭɞɧɟɧɧɨɟɜɜɟɞɟɧɢɟ0LFUR6KXQWɧɟɜɨɡɦɨɠɧɨɫɬɶɢɦɩɥɚɧɬɢɪɨɜɚɬɶɭɫɬɪɨɣɫɬɜɨ
ɧɟɢɫɩɪɚɜɧɨɫɬɶɭɫɬɪɨɣɫɬɜɚɫɦɟɳɟɧɢɟɭɫɬɪɨɣɫɬɜɚɩɪɨɞɥɟɧɢɟɯɢɪɭɪɝɢɱɟɫɤɨɣɩɪɨɰɟɞɭɪɵɜɵɯɨɞɬɪɭɛɤɢɢɡɩɟɪɟɞɧɟɣ
ɤɚɦɟɪɵɦɟɥɤɚɹɩɟɪɟɞɧɹɹɤɚɦɟɪɚɧɟɝɥɭɛɨɤɚɹɩɟɪɟɞɧɹɹɤɚɦɟɪɚɢɡɛɵɬɨɱɧɨɟɤɪɨɜɨɬɟɱɟɧɢɟɜɩɟɪɟɞɧɟɣɤɚɦɟɪɟɧɚɭɱɚɫɬɤɟ
ɧɚɞɪɟɡɚɢɥɢɜɝɥɚɡɟɤɨɧɬɚɤɬ0LFUR6KXQWɫɪɨɝɨɜɢɰɟɣɢɥɢɪɚɞɭɠɧɨɣɨɛɨɥɨɱɤɨɣɱɪɟɡɦɟɪɧɨɟɩɨɜɵɲɟɧɢɟɢɥɢɩɨɧɢɠɟɧɢɟ
ɜɧɭɬɪɢɝɥɚɡɧɨɝɨɞɚɜɥɟɧɢɹɫɬɪɚɛɢɡɦɧɟɨɛɯɨɞɢɦɨɫɬɶɩɪɢɦɟɧɟɧɢɹɜɢɫɤɨɷɥɚɫɬɢɤɚɜɩɟɪɟɞɧɟɣɤɚɦɟɪɟɯɨɪɢɨɢɞɚɥɶɧɵɣ
ɜɵɩɨɬɢɥɢɤɪɨɜɨɢɡɥɢɹɧɢɟɨɫɥɨɠɧɟɧɢɹɧɚɫɟɬɱɚɬɤɟ ɨɬɫɥɨɣɤɚɫɟɬɱɚɬɤɢɩɪɨɥɢɮɟɪɚɬɢɜɧɚɹɪɟɬɢɧɨɩɚɬɢɹ ɝɢɮɟɦɚ
ɝɢɩɨɬɨɧɢɹɢɥɢɝɢɩɨɬɨɧɢɱɟɫɤɚɹɦɚɤɭɥɨɩɚɬɢɹɮɬɢɡɢɫɝɥɚɡɧɨɝɨɹɛɥɨɤɚɷɧɞɨɮɬɚɥɶɦɢɬɷɪɨɡɢɹɤɨɧɴɸɧɤɬɢɜɵɫɨɛɧɚɠɟɧɢɟɦ
ɬɪɭɛɤɢɱɚɫɬɢɱɧɚɹɢɥɢɩɨɥɧɚɹɛɥɨɤɚɞɚɩɪɨɫɜɟɬɚɬɪɭɛɤɢ ɪɚɞɭɠɧɨɣɨɛɨɥɨɱɤɨɣɢɥɢɫɬɟɤɥɨɜɢɞɧɵɦɬɟɥɨɦɮɢɛɪɢɧɨɦ
ɬɤɚɧɹɦɢ ɭɜɟɢɬɢɪɢɬɞɢɩɥɨɩɢɹɧɟɩɪɚɜɢɥɶɧɵɣɬɨɤɜɧɭɬɪɢɝɥɚɡɧɨɣɠɢɞɤɨɫɬɢɧɚɪɭɲɟɧɢɹɫɨɫɬɨɪɨɧɵɪɨɝɨɜɢɰɵ ɢɫɬɢɪɚɧɢɟ
ɨɬɟɤɢɡɴɹɡɜɥɟɧɢɟɢɧɮɟɤɰɢɹɞɟɤɨɦɩɟɧɫɚɰɢɹɛɭɥɥɟɡɧɚɹɤɟɪɚɬɨɩɚɬɢɹɩɨɬɟɪɹɷɧɞɨɬɟɥɢɚɥɶɧɵɯɤɥɟɬɨɤɪɚɡɪɵɜɵ
ɞɟɫɰɟɦɟɬɨɜɨɣɨɛɨɥɨɱɤɢɤɟɪɚɬɢɬ ɱɚɫɬɢɱɧɚɹɢɥɢɩɨɥɧɚɹɩɨɬɟɪɹɡɪɟɧɢɹɩɨɦɭɬɧɟɧɢɟɡɪɟɧɢɹɮɢɫɬɭɥɚɮɢɥɶɬɪɚɰɢɨɧɧɨɣ
ɩɨɞɭɲɤɢɛɥɟɛɢɬɤɢɫɬɨɡɧɚɹɮɢɥɶɬɪɚɰɢɨɧɧɚɹɩɨɞɭɲɤɚɢɧɤɚɩɫɭɥɹɰɢɹɮɢɥɶɬɪɚɰɢɨɧɧɨɣɩɨɞɭɲɤɢɡɪɚɱɤɨɜɵɣɛɥɨɤɩɬɨɡ
ɦɚɤɭɥɹɪɧɵɣɨɬɟɤɩɪɨɥɨɧɝɢɪɨɜɚɧɧɨɟɜɨɫɩɚɥɟɧɢɟɧɟɨɛɯɨɞɢɦɨɫɬɶɩɪɢɦɟɧɟɧɢɹɚɧɬɢɝɥɚɭɤɨɦɧɵɯɩɪɟɩɚɪɚɬɨɜɛɨɥɶɜɝɥɚɡɚɯ
ɤɨɧɴɸɧɤɬɢɜɚɥɶɧɵɟɨɫɥɨɠɧɟɧɢɹ ɩɟɬɥɹɪɚɫɯɨɠɞɟɧɢɟɪɚɫɫɥɨɟɧɢɟɤɪɨɜɨɢɡɥɢɹɧɢɟɝɢɩɟɪɟɦɢɹɪɭɛɰɟɜɚɧɢɟɢɡɴɹɡɜɥɟɧɢɟ ɫɩɚɣɤɢɢɫɢɧɟɯɢɢɪɚɞɭɠɧɨɣɨɛɨɥɨɱɤɢɢɫɬɢɪɚɧɢɟɪɚɞɭɠɧɨɣɨɛɨɥɨɱɤɢɪɚɡɜɢɬɢɟɢɥɢɩɪɨɝɪɟɫɫɢɪɨɜɚɧɢɟɤɚɬɚɪɚɤɬɵ
ɜɬɨɪɢɱɧɚɹɤɚɬɚɪɚɤɬɚɷɤɫɩɥɚɧɬɚɰɢɹɭɫɬɪɨɣɫɬɜɚ0LFUR6KXQWɪɟɚɤɬɢɜɧɚɹɢɧɤɚɩɫɭɥɹɰɢɹɨɳɭɳɟɧɢɟɩɪɢɫɭɬɫɬɜɢɹɢɧɨɪɨɞɧɨɝɨ
ɬɟɥɚɧɚɥɢɱɢɟɮɢɛɪɢɧɚɜɩɟɪɟɞɧɟɣɤɚɦɟɪɟɩɨɜɪɟɠɞɟɧɢɟɩɨɥɹɡɪɟɧɢɹɧɟɡɚɩɥɚɧɢɪɨɜɚɧɧɚɹɩɨɜɬɨɪɧɚɹɨɩɟɪɚɰɢɹ
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ɫɬɟɤɥɨɜɢɞɧɨɟɬɟɥɨɜɵɞɟɥɟɧɢɹɢɡɪɚɧɵɢɨɫɥɨɠɧɟɧɢɹɫɜɹɡɚɧɧɵɟɫɧɚɥɨɠɟɧɢɟɦɲɜɨɜ
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ȼɫɟɤɨɦɩɨɧɟɧɬɵ35(6(5)/20LFUR6KXQWɫɬɟɪɢɥɶɧɵɩɨɫɥɟɩɨɥɭɱɟɧɢɹɆɢɤɪɨɲɭɧɬ35(6(5)/20LFUR6KXQW
ɢɫɤɥɟɪɚɥɶɧɵɣɦɚɪɤɟɪɫɬɟɪɢɥɢɡɨɜɚɧɵɷɬɢɥɟɧɨɤɫɢɞɨɦɫɨɝɥɚɫɧɨɪɟɤɨɦɟɧɞɚɰɢɹɦ,62ȼɡɚɤɪɵɬɨɣ
ɢɧɟɩɨɜɪɟɠɞɟɧɧɨɣɭɩɚɤɨɜɤɟɫɨɞɟɪɠɢɦɨɟɨɫɬɚɟɬɫɹɫɬɟɪɢɥɶɧɵɦȼɫɥɭɱɚɟɧɟɩɪɟɞɧɚɦɟɪɟɧɧɨɝɨɧɚɪɭɲɟɧɢɹ
ɫɬɟɪɢɥɶɧɨɫɬɢ35(6(5)/20LFUR6KXQWɢɥɢɤɚɤɨɣɥɢɛɨɤɨɦɩɥɟɤɬɭɸɳɟɣɩɪɢɧɚɞɥɟɠɧɨɫɬɢɢɥɢɜɫɤɪɵɬɢɹɢɢɥɢ
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ɂɇɋɌɊɍɄɐɂəɉɈɉɊɂɆȿɇȿɇɂɘ

ȼɡɚɜɢɫɢɦɨɫɬɢɨɬɤɨɧɮɢɝɭɪɚɰɢɢɦɢɤɪɨɲɭɧɬɚ35(6(5)/2ɤɨɦɩɚɧɢɹ0LFUR6KXQWɪɟɤɨɦɟɧɞɭɟɬɫɥɟɞɭɸɳɢɟ
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Ɉɬɩɭɫɤɬɨɥɶɤɨɩɨɪɟɰɟɩɬɭɗɬɨɭɫɬɪɨɣɫɬɜɨɪɚɡɪɟɲɟɧɨɞɥɹɩɪɨɞɚɠɢɬɨɥɶɤɨɜɪɚɱɨɦɢɥɢɩɨɟɝɨɡɚɤɚɡɭ
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ɩɨɪɱɟɭɫɬɪɨɣɫɬɜɚɱɬɨɜɫɜɨɸɨɱɟɪɟɞɶɦɨɠɟɬɩɪɢɱɢɧɢɬɶɫɟɪɶɟɡɧɵɣɜɪɟɞɩɚɰɢɟɧɬɭɩɪɢɜɟɫɬɢɤɛɨɥɟɡɧɢɫɥɟɩɨɬɟɢɥɢ
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ɉɨɫɥɟɢɫɩɨɥɶɡɨɜɚɧɢɹɭɬɢɥɢɡɢɪɭɣɬɟɩɪɨɞɭɤɬɢɭɩɚɤɨɜɤɭɜɫɨɨɬɜɟɬɫɬɜɢɢɫɩɪɟɞɩɢɫɚɧɢɹɦɢɛɨɥɶɧɢɰɵ
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Ɉɬɞɚɥɟɧɧɵɟɷɮɮɟɤɬɵɩɪɢɦɟɧɟɧɢɹɦɢɬɨɦɢɰɢɧɚɋ ɆɆɋ ɭɩɚɰɢɟɧɬɨɜɫɢɦɩɥɚɧɬɢɪɨɜɚɧɧɵɦɭɫɬɪɨɣɫɬɜɨɦ
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ɩɪɟɞɨɫɬɨɪɨɠɧɨɫɬɢɢɩɪɨɰɟɞɭɪɵ
0LFUR6KXQWɧɟɞɨɥɠɟɧɩɨɞɜɟɪɝɚɬɶɫɹɩɪɹɦɨɦɭɤɨɧɬɚɤɬɭɫɦɚɬɟɪɢɚɥɚɦɢɧɚɨɫɧɨɜɟɩɟɬɪɨɥɚɬɭɦɚ ɜɚɡɟɥɢɧɚ ɧɚɩɪɢɦɟɪɦɚɡɢɫɭɫɩɟɧɡɢɢɢɬɩ ɉɨɫɥɟɞɫɬɜɢɹɪɚɡɪɟɡɚɧɢɹɢɥɢɦɨɞɢɮɢɤɚɰɢɢɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɧɟɨɰɟɧɢɜɚɥɢɫɶ
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ɩɪɢɦɟɧɟɧɢɟɝɢɞɪɨɤɫɢɩɪɨɩɢɥɦɟɬɢɥɰɟɥɥɸɥɨɡɵ ȽɉɆɐ ɉɪɢɦɟɧɹɬɶȽɉɆɐɫɰɟɥɶɸɤɨɪɪɟɤɰɢɢɦɟɥɤɨɣɩɟɪɟɞɧɟɣ
ɤɚɦɟɪɵɝɥɚɡɚɩɪɢɢɦɩɥɚɧɬɢɪɨɜɚɧɧɨɦɦɢɤɪɨɲɭɧɬɟ0LFUR6KXQWɫɥɟɞɭɟɬɜɩɨɫɥɟɞɧɸɸɨɱɟɪɟɞɶɬɚɤɤɚɤɜɨɡɧɢɤɚɟɬ
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ɆȿɊɕɉɊȿȾɈɋɌɈɊɈɀɇɈɋɌɂ
Ȼɟɡɨɩɚɫɧɨɫɬɶɢɷɮɮɟɤɬɢɜɧɨɫɬɶɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɧɟɛɵɥɚɞɨɤɚɡɚɧɚɭɩɚɰɢɟɧɬɨɜɫɨɫɥɟɞɭɸɳɢɦɢ
ɫɨɫɬɨɹɧɢɹɦɢɢɡɚɛɨɥɟɜɚɧɢɹɦɢ
ż ɝɥɚɡɚɫɯɪɨɧɢɱɟɫɤɢɦɜɨɫɩɚɥɟɧɢɟɦż ɝɥɚɡɚɫɜɪɨɠɞɟɧɧɨɣɢɞɟɬɫɤɨɣɝɥɚɭɤɨɦɨɣż ɝɥɚɡɚɫɧɟɨɜɚɫɤɭɥɹɪɧɨɣɝɥɚɭɤɨɦɨɣż ɝɥɚɡɚɫɭɜɟɚɥɶɧɨɣɝɥɚɭɤɨɦɨɣż ɝɥɚɡɚɫɩɫɟɜɞɨɷɤɫɮɨɥɢɚɬɢɜɧɨɣɢɥɢɩɢɝɦɟɧɬɧɨɣɝɥɚɭɤɨɦɨɣż ɝɥɚɡɚɫɞɪɭɝɢɦɢɜɬɨɪɢɱɧɵɦɢɝɥɚɭɤɨɦɚɦɢɨɬɤɪɵɬɨɝɨɭɝɥɚż ɩɪɟɞɲɟɫɬɜɭɸɳɚɹɢɧɰɢɡɢɨɧɧɚɹɯɢɪɭɪɝɢɹɝɥɚɭɤɨɦɵɢɥɢɰɢɥɢɨɚɛɥɚɬɢɜɧɵɟɩɪɨɰɟɞɭɪɵż ɢɦɩɥɚɧɬɚɰɢɹɜɧɭɬɪɢɝɥɚɡɧɨɣɥɢɧɡɵɫɫɨɩɭɬɫɬɜɭɸɳɟɣɨɩɟɪɚɰɢɟɣɤɚɬɚɪɚɤɬɵ
- ȾɥɹɪɚɛɨɬɵɫɭɫɬɪɨɣɫɬɜɨɦɢɡɛɟɝɚɣɬɟɩɪɢɦɟɧɟɧɢɹɡɭɛɱɚɬɵɯɩɢɧɰɟɬɨɜɊɟɤɨɦɟɧɞɭɟɬɫɹɢɫɩɨɥɶɡɨɜɚɬɶɩɢɧɰɟɬɩɨ
Ɇɚɤɮɟɪɫɨɧɭ
ɉɨɫɥɟɨɩɟɪɚɰɢɢɧɟɨɛɯɨɞɢɦɨɨɬɫɥɟɠɢɜɚɬɶȼȽȾɩɚɰɢɟɧɬɚȿɫɥɢɩɨɫɥɟɨɩɟɪɚɰɢɢȼȽȾɧɟɩɨɞɞɟɪɠɢɜɚɟɬɫɹ
ɞɨɥɠɧɵɦɨɛɪɚɡɨɦɫɥɟɞɭɟɬɪɚɫɫɦɨɬɪɟɬɶɜɨɡɦɨɠɧɨɫɬɶɫɨɨɬɜɟɬɫɬɜɭɸɳɟɣɞɨɩɨɥɧɢɬɟɥɶɧɨɣɬɟɪɚɩɢɢɞɥɹɟɝɨ
ɩɨɞɞɟɪɠɚɧɢɹ
Ȼɟɡɨɩɚɫɧɨɫɬɶɢɷɮɮɟɤɬɢɜɧɨɫɬɶɢɫɩɨɥɶɡɨɜɚɧɢɹɛɨɥɟɟɱɟɦɨɞɧɨɝɨɦɢɤɪɨɲɭɧɬɚ35(6(5)/20LFUR6KXQWɧɟɭɫɬɚɧɨɜɥɟɧɵ

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ɩɪɢɦɟɧɟɧɢɟɦ
Ɍɟɯɧɢɤɚɨɩɟɪɚɰɢɢ
1. Ⱥɧɟɫɬɟɡɢɹȼɢɞɚɧɟɫɬɟɡɢɢɜɨɜɪɟɦɹɩɪɨɜɟɞɟɧɢɹɩɪɨɰɟɞɭɪɵɨɩɪɟɞɟɥɹɟɬɯɢɪɭɪɝ
2. ɉɨɞɝɨɬɨɜɤɚɦɢɤɪɨɲɭɧɬɚ35(6(5)/20LFUR6KXQWD ȼɧɢɦɚɬɟɥɶɧɨɨɫɦɨɬɪɢɬɟɭɩɚɤɨɜɤɭɫɦɢɤɪɨɲɭɧɬɨɦ
35(6(5)/20LFUR6KXQWȿɫɥɢɭɩɚɤɨɜɤɚɩɨɜɪɟɠɞɟɧɚɧɟɢɫɩɨɥɶɡɭɣɬɟɭɫɬɪɨɣɫɬɜɨE ɂɡɜɥɟɤɢɬɟɦɢɤɪɨɲɭɧɬ
35(6(5)/20LFUR6KXQWɢɡɫɬɟɪɢɥɶɧɨɣɭɩɚɤɨɜɤɢɜɫɬɟɪɢɥɶɧɵɯɭɫɥɨɜɢɹɯF ɋɦɨɱɢɬɟ0LFUR6KXQWɢɫɩɨɥɶɡɭɹ
ɪɚɫɬɜɨɪɫɛɚɥɚɧɫɢɪɨɜɚɧɧɨɝɨɫɨɥɟɜɨɝɨɪɚɫɬɜɨɪɚ %66 
3. ɉɨɡɢɰɢɨɧɢɪɨɜɚɧɢɟɢɦɩɥɚɧɬɚȼɜɟɞɟɧɢɟɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɩɪɨɢɡɜɨɞɢɬɫɹɩɨɭɫɦɨɬɪɟɧɢɸɯɢɪɭɪɝɚɥɢɛɨ
ɜɫɭɩɟɪɨɧɚɡɚɥɶɧɨɦɥɢɛɨɜɫɭɩɟɪɨɬɟɦɩɨɪɚɥɶɧɨɦɤɜɚɞɪɚɧɬɟɝɥɚɡɚɢɡɛɟɝɚɹɩɪɹɦɵɯɦɵɲɰ
4. Ʉɨɪɧɟɚɥɶɧɚɹɬɪɚɤɰɢɹɢɤɨɧɴɸɧɤɬɢɜɚɥɶɧɵɣɬɟɧɨɧɨɜɵɣɥɨɫɤɭɬȼɵɩɨɥɧɹɟɬɫɹɤɨɪɧɟɚɥɶɧɚɹɬɪɚɤɰɢɹ
ɫɩɨɦɨɳɶɸɲɜɚ ɧɚɭɫɦɨɬɪɟɧɢɟɯɢɪɭɪɝɚ ȼɧɚɦɟɱɟɧɧɨɦɨɩɟɪɚɰɢɨɧɧɨɦɭɱɚɫɬɤɟɩɪɨɢɡɜɨɞɢɬɫɹɩɟɪɢɬɨɦɢɹ
ɪɚɡɦɟɪɨɦɦɦɡɚɬɟɦɜɵɤɪɚɢɜɚɟɬɫɹɫɭɛɤɨɧɴɸɧɤɬɢɜɚɥɶɧɵɣɫɭɛɬɟɧɨɧɨɜɵɣɥɨɫɤɭɬ ɨɫɧɨɜɚɧɢɟɦ
ɤɫɜɨɞɭ ɫɨɤɪɭɠɧɨɫɬɶɸ±ɨɬɤɪɚɹɧɚɝɥɭɛɢɧɭɧɟɦɟɧɟɟɦɦɍɛɟɞɢɬɟɫɶɱɬɨɜɡɨɧɟɩɥɚɧɢɪɭɟɦɨɝɨɜɜɨɞɚ
0LFUR6KXQWɧɟɬɚɤɬɢɜɧɨɝɨɤɪɨɜɨɬɟɱɟɧɢɹɂɡɛɟɝɚɣɬɟɱɪɟɡɦɟɪɧɨɣɤɚɭɬɟɪɢɡɚɰɢɢɤɨɬɨɪɚɹɦɨɠɟɬɭɜɟɥɢɱɢɬɶɪɢɫɤ
ɨɛɪɚɡɨɜɚɧɢɹɪɭɛɰɨɜ
ɈɛɪɚɛɨɬɤɚɆɆɋɉɨɭɫɦɨɬɪɟɧɢɸɯɢɪɭɪɝɚɢɫɩɨɥɶɡɭɣɬɟɝɭɛɤɢɩɪɨɩɢɬɚɧɧɵɟ00&ɧɚɫɤɥɟɪɭɩɨɞ
ɫɭɛɤɨɧɴɸɧɤɬɢɜɚɥɶɧɵɦɫɭɛɬɟɧɨɧɨɜɵɦɥɨɫɤɭɬɨɦɫɥɟɞɹɡɚɬɟɦɱɬɨɛɵɨɧɢɧɟɫɨɩɪɢɤɚɫɚɥɢɫɶɫɤɪɚɟɦɪɚɧɵɧɚ
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ɬɨɱɤɢ±ɦɦɢɨɬɦɟɬɶɬɟɬɨɱɤɭɧɚɪɚɫɫɬɨɹɧɢɢɦɦɨɬɤɪɚɹ
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ɬɭɧɧɟɥɶɜɩɟɪɟɞɧɸɸɤɚɦɟɪɭ $& ɫɨɜɯɨɞɨɦɱɭɬɶɜɵɲɟɩɥɨɫɤɨɫɬɢɪɚɞɭɠɧɨɣɨɛɨɥɨɱɤɢ ɭɪɨɜɟɧɶɬɪɚɛɟɤɭɥɹɪɧɨɣ
ɫɟɬɤɢ ɜɤɚɱɟɫɬɜɟɜɧɟɲɧɟɝɨɨɪɢɟɧɬɢɪɚɜɨɣɞɢɬɟɜ$&ɱɭɬɶɧɢɠɟɫɪɟɞɧɟɣɝɪɚɧɢɰɵɯɢɪɭɪɝɢɱɟɫɤɨɝɨɤɪɚɹ ɡɚɞɧɹɹ
ɝɪɚɧɢɰɚɫɢɧɟɫɟɪɨɣɡɨɧɵɤɨɬɨɪɚɹɞɨɥɠɧɚɢɡɧɭɬɪɢɩɟɪɟɤɪɵɜɚɬɶɥɢɧɢɸɒɜɚɥɶɛɟ ɩɪɢɧɚɥɢɱɢɢɫɤɥɟɪɚɥɶɧɵɣ
ɬɭɧɧɟɥɶɫɱɢɬɚɟɬɫɹɜɵɩɨɥɧɟɧɧɵɦɤɨɝɞɚɫɨɡɞɚɟɬɫɹɫɤɥɟɪɚɥɶɧɵɣɤɚɪɦɚɧɞɥɢɧɨɣɦɦɧɚɞɢɫɬɚɥɶɧɨɦɤɨɧɰɟ
ɫɤɥɟɪɚɥɶɧɨɝɨɬɭɧɧɟɥɹɝɞɟɧɚɯɨɞɢɬɫɹɩɥɨɫɤɚɹɱɚɫɬɶɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQW
Eɉɪɢɢɫɩɨɥɶɡɨɜɚɧɢɢɧɨɠɚɫɭɝɥɨɜɨɣɳɟɥɶɸɦɦȼɨɬɦɟɱɟɧɧɨɣɬɨɱɤɟɫɨɡɞɚɣɬɟɧɟɝɥɭɛɨɤɢɣ
ɫɤɥɟɪɚɥɶɧɵɣɤɚɪɦɚɧɞɥɢɧɨɣɦɦɤɭɞɚɜɫɬɚɜɥɹɟɬɫɹɩɥɨɫɤɚɹɱɚɫɬɶ0LFUR6KXQWȼɫɬɚɜɶɬɟɢɝɥɭɤɚɥɢɛɪɚ*ɜɫɤɥɟɪɚɥɶɧɵɣɤɚɪɦɚɧɢɫɨɡɞɚɣɬɟɫɤɥɟɪɚɥɶɧɵɣɬɭɧɧɟɥɶɜ$&ɫɨɜɯɨɞɨɦɱɭɬɶɜɵɲɟɩɥɨɫɤɨɫɬɢɪɚɞɭɠɧɨɣ
ɨɛɨɥɨɱɤɢ ɭɪɨɜɟɧɶɬɪɚɛɟɤɭɥɹɪɧɨɣɫɟɬɤɢ ȼɤɚɱɟɫɬɜɟɜɧɟɲɧɟɝɨɨɪɢɟɧɬɢɪɚɜɨɣɞɢɬɟɜ$&ɱɭɬɶɧɢɠɟɫɪɟɞɧɟɣ
ɝɪɚɧɢɰɵɯɢɪɭɪɝɢɱɟɫɤɨɝɨɤɪɚɹ ɡɚɞɧɹɹɝɪɚɧɢɰɚɫɢɧɟɫɟɪɨɣɡɨɧɵɤɨɬɨɪɚɹɞɨɥɠɧɚɢɡɧɭɬɪɢɩɟɪɟɤɪɵɜɚɬɶɥɢɧɢɸ
ɒɜɚɥɶɛɟ ɩɪɢɧɚɥɢɱɢɢ
ȼɜɟɞɟɧɢɟɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɜɩɟɪɟɞɧɸɸɤɚɦɟɪɭɝɥɚɡɚɋɩɨɦɨɳɶɸɩɢɧɰɟɬɚɛɟɡɡɭɛɰɨɜ
ɩɨɞɧɟɫɢɬɟɬɪɭɛɤɭ0LFUR6KXQWɫɨɫɤɨɲɟɧɧɵɦɤɨɧɰɨɦɤɪɨɝɨɜɢɰɟɜɛɥɢɡɢɫɤɥɟɪɚɥɶɧɨɝɨɤɚɪɦɚɧɚɬɭɧɧɟɥɹɜɬɨɠɟ
ɜɪɟɦɹɭɞɟɪɠɢɜɚɹɜɵɫɬɭɩɩɚɪɚɥɥɟɥɶɧɨɩɨɜɟɪɯɧɨɫɬɢɫɤɥɟɪɵɈɫɬɨɪɨɠɧɨɜɜɟɞɢɬɟ0LFUR6KXQWɜɫɤɥɟɪɚɥɶɧɵɣ
ɤɚɪɦɚɧɬɭɧɧɟɥɶɩɨɤɚɜɵɫɬɭɩɧɟɫɤɪɨɟɬɫɹɩɨɞɫɤɥɟɪɚɥɶɧɵɦɤɚɪɦɚɧɨɦɉɪɢɩɪɢɦɟɧɟɧɢɢɢɡɥɢɲɧɟɣɫɢɥɵ
0LFUR6KXQWɛɭɞɟɬɩɪɨɝɢɛɚɬɶɫɹɢɩɪɨɰɟɞɭɪɚɜɜɨɞɚɭɫɥɨɠɧɢɬɫɹȿɫɥɢɜɜɨɞɧɟɭɞɚɟɬɫɹɦɨɠɧɨɫɞɟɥɚɬɶɞɪɭɝɨɣ
ɫɤɥɟɪɚɥɶɧɵɣɤɚɪɦɚɧɬɭɧɧɟɥɶɩɪɢɦɟɪɧɨɜɦɦɫɥɸɛɨɣɫɬɨɪɨɧɵɨɬɩɟɪɜɨɧɚɱɚɥɶɧɨɝɨɤɚɧɚɥɚȿɫɥɢɜɨɜɪɟɦɹ
ɩɪɨɰɟɞɭɪɵɦɢɤɪɨɲɭɧɬ0LFUR6KXQWɛɭɞɟɬɩɨɜɪɟɠɞɟɧɢɫɩɨɥɶɡɭɣɬɟɧɨɜɵɣɦɢɤɪɨɲɭɧɬ0LFUR6KXQWɢɜɜɨɞɢɬɟɟɝɨ
ɱɟɪɟɡɧɨɜɵɣɫɤɥɟɪɚɥɶɧɵɣɤɚɪɦɚɧɬɭɧɧɟɥɶɉɨɫɥɟɭɫɩɟɲɧɨɣɭɫɬɚɧɨɜɤɢ0LFUR6KXQWɭɛɟɞɢɬɟɫɶɱɬɨɛɥɢɠɧɢɣ
ɤɨɧɟɰɬɪɭɛɤɢ$&ɜɩɟɪɟɞɧɟɣɤɚɦɟɪɟɝɥɚɡɚɧɟɫɨɩɪɢɤɚɫɚɟɬɫɹɫɪɨɝɨɜɢɰɟɣɢɥɢɪɚɞɭɠɧɨɣɨɛɨɥɨɱɤɨɣɢɱɬɨɟɫɬɶ
ɬɨɤɜɨɞɹɧɢɫɬɨɣɜɥɚɝɢɜɞɢɫɬɚɥɶɧɨɦɤɨɧɰɟɁɚɬɟɦɩɨɦɟɫɬɢɬɟɤɨɧɟɰɬɪɭɛɤɢ0LFUR6KXQWɩɨɞɫɭɛɤɨɧɴɸɧɤɬɢɜɚɥɶɧɵɣ
ɫɭɛɬɟɧɨɧɨɜɵɣɥɨɫɤɭɬɧɚɩɨɜɟɪɯɧɨɫɬɢɫɤɥɟɪɵɩɪɢɷɬɨɦɭɛɟɞɢɬɟɫɶɱɬɨɨɧɜɩɪɹɦɨɦɩɨɥɨɠɟɧɢɢɢɧɟɡɚɫɬɪɹɥɜ
ɬɟɧɨɧɨɜɨɣɤɚɩɫɭɥɟȿɫɥɢɨɧɧɟɜɢɞɟɧɦɨɠɧɨɜɵɩɨɥɧɢɬɶɨɞɧɨɢɡɫɥɟɞɭɸɳɢɯɞɟɣɫɬɜɢɣɥɟɝɤɨɟɞɚɜɥɟɧɢɟɧɚɝɥɚɡ
ɫɤɥɟɪɚɤɪɚɣɪɨɝɨɜɢɰɚ ɡɚɩɨɥɧɟɧɢɟɩɟɪɟɞɧɟɣɤɚɦɟɪɵ%66ɱɟɪɟɡɩɚɪɚɰɟɧɬɟɡɢɥɢɢɫɩɨɥɶɡɨɜɚɧɢɟɬɨɧɤɨɫɬɟɧɧɨɣ
ɦɢɥɥɢɦɟɬɪɨɜɨɣɢɡɨɝɧɭɬɨɣɤɚɧɸɥɢɤɚɥɢɛɪɚ*ɜɜɟɞɟɧɢɟ%66ɜɞɢɫɬɚɥɶɧɵɣɤɨɧɟɰɦɢɤɪɨɲɭɧɬɚ
0LFUR6KXQWɱɬɨɛɵɡɚɩɨɥɧɢɬɶɬɪɭɛɤɭȿɫɥɢɬɨɤɜɥɚɝɢɧɟɭɫɬɚɧɨɜɥɟɧɩɟɪɟɦɟɫɬɢɬɟɭɫɬɪɨɣɫɬɜɨɜɞɪɭɝɨɟɩɨɥɨɠɟɧɢɟ
ɢɥɢɡɚɦɟɧɢɬɟɟɝɨ
Ʉɨɧɬɪɨɥɶɩɨɥɨɠɟɧɢɹɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɜɭɝɥɭɩɟɪɟɞɧɟɣɤɚɦɟɪɵɊɟɤɨɦɟɧɞɭɟɬɫɹɩɪɨɜɨɞɢɬɶ
ɢɧɬɪɚɨɩɟɪɚɰɢɨɧɧɭɸɝɨɧɢɨɫɤɨɩɢɸɞɥɹɨɰɟɧɤɢɩɨɥɨɠɟɧɢɹɩɪɨɤɫɢɦɚɥɶɧɨɝɨɤɨɧɰɚ0LFUR6KXQWɜɩɟɪɟɞɧɟɣɤɚɦɟɪɟ
ɱɬɨɛɵɨɛɟɫɩɟɱɢɬɶɞɨɫɬɚɬɨɱɧɵɣɡɚɡɨɪɨɬɪɨɝɨɜɢɰɵɢɥɢɪɚɞɭɠɧɨɣɨɛɨɥɨɱɤɢ
ɁɚɤɪɵɬɢɟɤɨɧɴɸɧɤɬɢɜɵɊɟɩɨɡɢɰɢɨɧɢɪɭɣɬɟɬɟɧɨɧɨɜɭɤɚɩɫɭɥɭɢɤɨɧɴɸɧɤɬɢɜɭɤɥɢɦɛɭɢɡɚɲɟɣɬɟɢɫɩɨɥɶɡɭɹ
ɲɨɜɧɵɣɦɚɬɟɪɢɚɥɞɥɹɤɨɬɨɪɨɝɨɢɦɟɟɬɫɹɞɥɢɬɟɥɶɧɵɣɨɩɵɬɭɫɩɟɲɧɨɝɨɢɫɩɨɥɶɡɨɜɚɧɢɹɩɪɢɝɥɚɭɤɨɦɟ ɬɨɟɫɬɶɧɟɣɥɨɧɜɢɤɪɢɥ ɋɩɨɦɨɳɶɸɭɜɥɚɠɧɟɧɧɨɣɬɟɫɬɩɨɥɨɫɤɢɫɮɥɭɨɪɟɫɰɟɢɧɨɦɩɪɨɜɟɪɶɬɟɧɟɩɪɨɬɟɤɚɟɬ
ɥɢɤɨɧɴɸɧɤɬɢɜɚɩɪɢɧɟɨɛɯɨɞɢɦɨɫɬɢɧɚɥɨɠɢɬɟɞɨɩɨɥɧɢɬɟɥɶɧɵɟɲɜɵɍɛɟɞɢɬɟɫɶɜɫɥɟɞɭɸɳɟɦɧɚɥɢɱɢɟ
ɩɪɨɤɫɢɦɚɥɶɧɨɝɨɤɨɧɰɚɦɢɤɪɨɲɭɧɬɚ0LFUR6KXQWɜɩɟɪɟɞɧɟɣɤɚɦɟɪɟɞɢɫɬɚɥɶɧɵɣɤɨɧɟɰ0LFUR6KXQWɜɩɪɹɦɨɦ
ɩɨɥɨɠɟɧɢɢɢɧɟɡɚɫɬɪɹɥɜɬɟɧɨɧɨɜɨɣɤɚɩɫɭɥɟɍɞɚɥɢɬɟɲɨɜɞɥɹɤɨɪɧɟɚɥɶɧɨɣɬɪɚɤɰɢɢɟɫɥɢɨɧɩɪɢɦɟɧɹɥɫɹ
ɉɪɢɧɟɨɛɯɨɞɢɦɨɫɬɢɜɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɵɣɩɟɪɢɨɞɩɪɢɦɟɧɹɣɬɟɚɧɬɢɛɢɨɬɢɤɢɢɫɬɟɪɨɢɞɧɵɟɩɪɟɩɚɪɚɬɵ
ɉɨɫɥɟɢɫɩɨɥɶɡɨɜɚɧɢɹɭɬɢɥɢɡɢɪɭɣɬɟɩɪɨɞɭɤɬɢɭɩɚɤɨɜɤɭɜɫɨɨɬɜɟɬɫɬɜɢɢɫɩɪɟɞɩɢɫɚɧɢɹɦɢɛɨɥɶɧɢɰɵ
ɚɞɦɢɧɢɫɬɪɚɬɢɜɧɵɯɨɪɝɚɧɨɜɢɥɢɬɪɟɛɨɜɚɧɢɹɦɢɦɟɫɬɧɨɝɨɡɚɤɨɧɨɞɚɬɟɥɶɫɬɜɚȾɥɹɩɪɚɜɢɥɶɧɨɣɭɬɢɥɢɡɚɰɢɢ00&ɫɥɟɞɭɣɬɟɢɧɫɬɪɭɤɰɢɹɦɩɨɩɪɢɦɟɧɟɧɢɸ00&ȼɩɨɫɥɟɨɩɟɪɚɰɢɨɧɧɵɣɩɟɪɢɨɞ
 ɉɪɢɤɚɠɞɨɦɤɨɧɬɪɨɥɶɧɨɦɨɛɫɥɟɞɨɜɚɧɢɢɩɚɰɢɟɧɬɚɤɨɧɬɪɨɥɢɪɭɣɬɟɜɧɭɬɪɢɝɥɚɡɧɨɟɞɚɜɥɟɧɢɟɱɬɨɛɵ
ɭɞɨɫɬɨɜɟɪɢɬɶɫɹɜɨɬɤɪɵɬɨɦɫɨɫɬɨɹɧɢɢ0LFUR6KXQW ȿɫɥɢɜɪɟɡɭɥɶɬɚɬɟɨɰɟɧɤɢɷɮɮɟɤɬɢɜɧɨɫɬɢɭɫɬɪɨɣɫɬɜɚɛɭɞɟɬɩɪɢɧɹɬɨɪɟɲɟɧɢɟɩɟɪɟɦɟɫɬɢɬɶɭɞɚɥɢɬɶɢɢɥɢ
ɡɚɦɟɧɢɬɶ0LFUR6KXQWɭɫɬɪɨɣɫɬɜɨɦɞɪɭɝɨɝɨɬɢɩɚɤɨɧɴɸɧɤɬɢɜɭɫɥɟɞɭɟɬɪɚɡɪɟɡɚɬɶɜɨɛɥɚɫɬɢɤɪɚɹɚɧɚɥɨɝɢɱɧɨ
ɩɟɪɜɨɧɚɱɚɥɶɧɨɣɩɪɨɰɟɞɭɪɟɍɫɬɪɨɣɫɬɜɨɧɭɠɧɨɪɚɫɤɪɵɬɶɢɜɵɩɨɥɧɢɬɶɩɟɪɟɦɟɳɟɧɢɟɢɥɢɭɞɚɥɟɧɢɟɉɨɫɥɟ
ɭɞɚɥɟɧɢɹɭɫɬɪɨɣɫɬɜɚɭɛɟɞɢɬɟɫɶɜɨɬɫɭɬɫɬɜɢɢɭɬɟɱɤɢɜɥɚɝɢɢɡɤɚɧɚɥɚȿɫɥɢɟɫɬɶɭɬɟɱɤɚɧɟɨɛɯɨɞɢɦɨɡɚɲɢɬɶ
ɤɚɧɚɥɱɬɨɛɵɟɝɨɡɚɝɟɪɦɟɬɢɡɢɪɨɜɚɬɶɁɚɤɪɵɬɢɟɤɨɧɴɸɧɤɬɢɜɵɞɨɥɠɧɨɩɪɨɢɡɜɨɞɢɬɶɫɹɩɨɩɟɪɜɨɧɚɱɚɥɶɧɨɣ
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VRVXW~URXSTERILIZÁCIA
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1. Anestézia:7\SDQHVWp]LHSRXåLWHMSUL]iNURNXEXGH]iYLVLHĢRGUR]KRGQXWLDFKLUXUJD
2. Príprava systému PRESERFLO™ MicroShunt:D '{NODGQHVNRQWUROXMWHSX]GURREVDKXM~FHV\VWpP35(6(5)/2
0LFUR6KXQW$NMHYUHFNRSRãNRGHQpSRP{FNXQHSRXåtYDMWHE 9\EHUWHSRP{FNX35(6(5)/20LFUR6KXQW]RVWHULOQpKRREDOXGRVWHULOQpKRSRĐDF 1DYOKþLWHSRP{FNX35(6(5)/20LFUR6KXQWSRPRFRXY\YiåHQpKRUR]WRNXVROt
%66 
3. Plánovanie polohy implantátu:6\VWpP0LFUR6KXQWVDYNODGiY]iYLVORVWLRGUR]KRGQXWLDFKLUXUJDEXćGR
VXSUDQD]iOQHKRDOHERVXSUDWHPSRUiOQHKRNYDGUDQWXRNDY\KêEDM~FVDSULDP\PVYDORP
4. Trakcia rohovky a spojivkový/tenónový lalok:9\NRQDMWHWUDNFLXURKRYN\SRPRFRXVWHKXSRGĐDUR]KRGQXWLDFKLUXUJD9REODVWLSOiQRYDQpKRFKLUXUJLFNpKR]iNURNXY\NRQDMWHSHULWyPLX±PPLQFt]LRXSRWRPUR]UHåWH
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Overte polohu implantátu MicroShunt v uhle prednej komory:2GSRU~þDVDSRV~GLĢSRORKXSUR[LPiOQHKRKURWX
V\VWpPX0LFUR6KXQWYSUHGQHMNRPRUHSRPRFRXLQWUDRSHUDþQHMJRQLRVNRSLHDE\ERO]DEH]SHþHQêGRVWDWRþQêSULHVWRUPHG]LURKRYNRXDG~KRYNRXUzavretie spojivky: 9UiĢWHWHQyQRYXNDSVXOXDVSRMLYNXVSlĢNRNUDMRPD]DãLWHVWHKPLNWRUpV~GOKRGRERRYHUHQp
YSUD[LRGERUQtNRYNWRUtVDãSHFLDOL]XM~QDJODXNyP WMQ\ORQRYêPLYLFU\ORYêPL =YOKþHQêSiVLNVÀXRUHVFHtQRPVDSRXåtYDQDNRQWUROXQHWHVQRVWLQDVSRMLYNHNWRUiP{åHE\ĢQiVOHGQHX]DYUHWićDOãtPLVWHKPL2YHUWHQDVOHGXM~FH
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ɱɭɠɨɪɿɞɧɨɸɪɟɱɨɜɢɧɨɸ ɭɜɟʀɬɿɪɢɬɞɿɩɥɨɩɿɹɧɟɩɪɚɜɢɥɶɧɟɫɩɪɹɦɭɜɚɧɧɹɩɨɬɨɤɭɜɨɞɹɧɢɫɬɨʀɜɨɥɨɝɢɭɫɤɥɚɞɧɟɧɧɹɡ
ɛɨɤɭɪɨɝɿɜɤɢ ɜɢɬɢɪɚɧɧɹɧɚɛɪɹɤɭɬɜɨɪɟɧɧɹɜɢɪɚɡɨɤɿɧɮɟɤɰɿɹɞɟɤɨɦɩɟɧɫɚɰɿɹɤɟɪɚɬɨɩɚɬɿɹɨɱɧɨɝɨɹɛɥɭɤɚɜɬɪɚɬɚ
ɟɧɞɨɬɟɥɿɚɥɶɧɢɯɤɥɿɬɢɧɪɨɡɪɢɜɢɞɟɫɰɟɦɟɬɨɜɨʀɨɛɨɥɨɧɤɢɤɟɪɚɬɢɬ ɱɚɫɬɤɨɜɚɚɛɨɩɨɜɧɚɜɬɪɚɬɚɡɨɪɭɧɟɱɿɬɤɢɣ
ɡɿɪɜɢɬɿɤɚɧɧɹɪɿɞɢɧɢɡɮɿɥɶɬɪɚɰɿɣɧɨʀɩɨɞɭɲɤɢɤɨɧ¶ɸɧɤɬɢɜɢɛɥɟɛɿɬɭɬɜɨɪɟɧɧɹɤɿɫɬɨɡɧɨʀɮɿɥɶɬɪɚɰɿɣɧɨʀɩɨɞɭɲɤɢ
ɜɿɞɦɨɜɚɮɿɥɶɬɪɚɰɿɣɧɨʀɩɨɞɭɲɤɢɡɿɧɢɱɧɢɣɛɥɨɤɩɬɨɡɦɚɤɭɥɚɪɧɢɣɧɚɛɪɹɤɞɨɜɝɨɬɪɢɜɚɥɟɡɚɩɚɥɟɧɧɹɜɢɤɨɪɢɫɬɚɧɧɹ
ɦɟɞɢɤɚɦɟɧɬɿɜɞɥɹɥɿɤɭɜɚɧɧɹɝɥɚɭɤɨɦɢɛɿɥɶɜɨɱɚɯɭɫɤɥɚɞɧɟɧɧɹɡɛɨɤɭɤɨɧ¶ɸɧɤɬɢɜɢ ɩɟɬɥɟɩɨɞɿɛɧɚɞɟɮɨɪɦɚɰɿɹ
ɪɨɡɯɨɞɠɟɧɧɹɪɚɧɢɪɨɡɪɿɡɚɧɧɹɤɪɨɜɨɜɢɥɢɜɝɿɩɟɪɟɦɿɹɪɭɛɟɰɶɪɨɡɪɢɜɭɬɜɨɪɟɧɧɹɜɢɪɚɡɤɢ ɭɬɜɨɪɟɧɧɹɫɩɚɣɨɤ
ɫɢɧɟɯɿɣɧɚɪɚɣɞɭɠɧɿɣɨɛɨɥɨɧɰɿɜɢɬɢɪɚɧɧɹɪɚɣɞɭɠɧɨʀɨɛɨɥɨɧɤɢɭɬɜɨɪɟɧɧɹɚɛɨɩɨɝɿɪɲɟɧɧɹɧɚɹɜɧɨʀɤɚɬɚɪɚɤɬɢ
ɩɨɦɭɬɧɿɧɧɹɡɚɞɧɶɨʀɤɚɩɫɭɥɢɤɪɢɲɬɚɥɢɤɚɟɤɫɩɥɚɧɬɚɰɿɹ0LFUR6KXQWɪɟɚɤɰɿɹɿɧɤɚɩɫɭɥɹɰɿʀɜɿɞɱɭɬɬɹɩɪɢɫɭɬɧɨɫɬɿ
ɱɭɠɨɪɿɞɧɨɝɨɬɿɥɚɩɨɹɜɚɮɿɛɪɢɧɭɜɩɟɪɟɞɧɿɣɤɚɦɟɪɿɨɤɚɭɲɤɨɞɠɟɧɧɹɩɨɥɹɡɨɪɭɧɟɡɚɩɥɚɧɨɜɚɧɟɩɨɜɬɨɪɧɟ
ɯɿɪɭɪɝɿɱɧɟɜɬɪɭɱɚɧɧɹɡɩɪɢɜɨɞɭɝɥɚɭɤɨɦɢɤɪɨɜɨɜɢɥɢɜɭɡɨɪɨɜɢɣɧɟɪɜɩɟɪɮɨɪɚɰɿɹɨɱɧɨɝɨɹɛɥɭɤɚɝɨɥɨɜɧɢɣɛɿɥɶ
ɤɪɨɜɨɜɢɥɢɜɭɫɤɥɢɫɬɟɬɿɥɨɜɢɬɿɤɿɡɪɚɧɢɬɚɭɫɤɥɚɞɧɟɧɧɹɩɨɜ¶ɹɡɚɧɧɿɡɧɚɤɥɚɞɚɧɧɹɦɲɜɿɜ
ɋɌȿɊɂɅȱɁȺɐȱəȼɋɌɍɉɆɿɤɪɨɲɭɧɬ35(6(5)/20LFUR6KXQWɫɤɥɚɞɚɽɬɶɫɹɡɦɿɤɪɨɲɭɧɬɚ35(6(5)/20LFUR6KXQWɿɫɤɥɟɪɚɥɶɧɨɝɨ
ɦɚɪɤɟɪɚɦɦɡɧɟɪɠɚɜɿɸɱɨʀɫɬɚɥɿ0LFUR6KXQW²ɰɟɩɪɢɡɧɚɱɟɧɢɣɞɥɹɿɦɩɥɚɧɬɚɰɿʀɞɪɟɧɚɠɧɢɣɩɪɢɫɬɪɿɣ
ɳɨɜɢɤɨɪɢɫɬɨɜɭɽɬɶɫɹɞɥɹɥɿɤɭɜɚɧɧɹɝɥɚɭɤɨɦɢɉɪɢɫɬɪɿɣɡɪɨɛɥɟɧɨɡɧɚɞɡɜɢɱɚɣɧɨɝɧɭɱɤɨɝɨɩɨɥɿɦɟɪɭ6,%6>ɩɨɥɿ ɫɬɢɪɨɥɛɥɨɤɿɡɨɛɭɬɢɥɟɧɛɥɨɤɫɬɢɪɨɥɭ @ɭɜɢɝɥɹɞɿɬɪɭɛɤɢɿɡɡɨɜɧɿɲɧɿɦɞɿɚɦɟɬɪɨɦɦɤɦɬɚɞɿɚɦɟɬɪɨɦ
ɩɪɨɫɜɿɬɭɦɤɦɉɪɢɫɬɪɿɣɦɚɽɬɪɢɤɭɬɧɿ©ɩɟɪɚªɳɨɡɚɩɨɛɿɝɚɸɬɶɣɨɝɨɩɪɨɫɭɜɚɧɧɸɜɩɟɪɟɞɧɸɨɱɧɭɤɚɦɟɪɭ
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 Ɉɛɨɜ¶ɹɡɤɨɜɨɩɟɪɟɜɿɪɬɟɬɟɪɦɿɧɩɪɢɞɚɬɧɨɫɬɿɧɚɭɩɚɤɨɜɰɿ
ɉɊɂɁɇȺɑȿɇɇəɉɊɂɋɌɊɈɘ
Ɇɿɤɪɨɲɭɧɬ35(6(5)/20LFUR6KXQWɡɚɞɨɩɨɦɨɝɨɸɬɪɭɛɤɢɫɬɜɨɪɸɽɤɚɧɚɥɞɥɹɜɿɞɬɨɤɭɜɧɭɬɪɿɲɧɶɨɨɱɧɨʀɪɿɞɢɧɢɡ
ɩɟɪɟɞɧɶɨʀɤɚɦɟɪɢɨɤɚɜɦɿɯɭɪɭɬɜɨɪɟɧɢɣɩɿɞɤɨɧ¶ɸɧɤɬɢɜɨɸɬɚɬɟɧɨɧɨɜɨɸɤɚɩɫɭɥɨɸɩɟɪɟɞɧɿɣɩɪɨɤɫɢɦɚɥɶɧɢɣ
ɤɿɧɟɰɶɬɪɭɛɤɢɩɪɨɯɨɞɢɬɶɭɩɟɪɟɞɧɸɤɚɦɟɪɭɚɡɚɞɧɿɣɞɢɫɬɚɥɶɧɢɣɤɿɧɟɰɶɡɚɤɿɧɱɭɽɬɶɫɹɜɦɿɯɭɪɿɆɿɤɪɨɲɭɧɬ
35(6(5)/20LFUR6KXQWɡɧɢɠɭɽɜɧɭɬɪɿɲɧɶɨɨɱɧɢɣɬɢɫɤ ȼɈɌ ɡɚɪɚɯɭɧɨɤɮɿɡɢɱɧɨɝɨɲɭɧɬɭɜɚɧɧɹɜɧɭɬɪɿɲɧɶɨɨɱɧɨʀ
ɪɿɞɢɧɢɡɩɟɪɟɞɧɶɨʀɤɚɦɟɪɢɜɢɫɨɤɨɝɨɬɢɫɤɭɜɦɿɯɭɪɡɧɢɠɱɢɦɬɢɫɤɨɦ
ȼɆȱɋɌɋɂɋɌȿɆɂ35(6(5)/20LFUR6KXQW ɄȱɅɖɄȱɋɌɖɇɚɥɿɩɤɢɞɥɹɦɟɞɢɱɧɨʀɞɨɤɭɦɟɧɬɚɰɿʀ Ʉɚɪɬɤɚɩɚɰɿɽɧɬɚ Ɇɿɤɪɨɲɭɧɬ0LFUR6KXQW ɋɤɥɟɪɚɥɶɧɢɣɦɚɪɤɟɪɦɦ ȼɫɿɤɨɦɩɨɧɟɧɬɢɫɢɫɬɟɦɢ35(6(5)/20LFUR6KXQWɽɫɬɟɪɢɥɶɧɢɦɢɧɚɦɨɦɟɧɬɨɬɪɢɦɚɧɧɹɄɨɦɩɨɧɟɧɬɢɫɢɫɬɟɦɢ
35(6(5)/20LFUR6KXQWɫɬɟɪɢɥɿɡɭɸɬɶɫɹɨɤɫɢɞɨɦɟɬɢɥɟɧɭɜɿɞɩɨɜɿɞɧɨɞɨɪɟɤɨɦɟɧɞɚɰɿɣɫɬɚɧɞɚɪɬɭ,62
ɉɨɤɢɩɚɤɭɜɚɧɧɹɡɚɥɢɲɚɽɬɶɫɹɡɚɤɪɢɬɢɦɬɚɧɟɭɲɤɨɞɠɟɧɢɦɜɦɿɫɬɣɨɝɨɫɬɟɪɢɥɶɧɢɣəɤɳɨɩɚɤɭɜɚɧɧɹɛɭɥɨɜɿɞɤɪɢɬɨ
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ɨɮɬɚɥɶɦɨɥɨɝɚɦɢɳɨɫɩɟɰɿɚɥɿɡɭɸɬɶɫɹɧɚɥɿɤɭɜɚɧɧɿɝɥɚɭɤɨɦɢ ɜɤɥɸɱɧɨɡɯɿɪɭɪɝɚɦɢɳɨɫɩɟɰɿɚɥɿɡɭɸɬɶɫɹɧɚ
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ɉɈɄȺɁȺɇɇəȾɅəȼɂɄɈɊɂɋɌȺɇɇə
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ɤɨɧɬɪɨɥɶɧɚɞɜɧɭɬɪɿɲɧɶɨɨɱɧɢɦɬɢɫɤɨɦɡɚɭɦɨɜɦɚɤɫɢɦɚɥɶɧɨɩɪɢɩɭɫɬɢɦɢɯɞɨɡɦɟɞɢɤɚɦɟɧɬɨɡɧɨʀɬɟɪɚɩɿʀɬɚ ɚɛɨ ɭɜɢɩɚɞɤɚɯɤɨɥɢɥɿɤɭɜɚɧɧɹɝɥɚɭɤɨɦɢɩɨɬɪɟɛɭɽɯɿɪɭɪɝɿɱɧɨɝɨɜɬɪɭɱɚɧɧɹ
ɈɑȱɄɍȼȺɇȱȽɊɍɉɂɉȺɐȱȯɇɌȱȼɐȱɅɖɈȼȱȽɊɍɉɂ
ɐɿɥɶɨɜɨɸɝɪɭɩɨɸɩɚɰɿɽɧɬɿɜɽɞɨɪɨɫɥɿɩɚɰɿɽɧɬɢɡɩɟɪɜɢɧɧɨɸɜɿɞɤɪɢɬɨɤɭɬɨɜɨɸɝɥɚɭɤɨɦɨɸɭɹɤɢɯȼɈɌɡɚɥɢɲɚɽɬɶɫɹ
ɧɟɤɨɧɬɪɨɥɶɨɜɚɧɢɦɧɚɮɨɧɿɦɚɤɫɢɦɚɥɶɧɨʀɩɟɪɟɧɨɫɢɦɨɫɬɿɦɟɞɢɤɚɦɟɧɬɨɡɧɨʀɬɟɪɚɩɿʀɬɚɚɛɨɹɤɳɨɩɪɨɝɪɟɫɭɜɚɧɧɹ
ɝɥɚɭɤɨɦɢɜɢɦɚɝɚɽɯɿɪɭɪɝɿɱɧɨɝɨɜɬɪɭɱɚɧɧɹ
ɉɊɈɌɂɉɈɄȺɁȺɇɇə
ȱɦɩɥɚɧɬɚɰɿɹɦɿɤɪɨɲɭɧɬɨɜɨʀɫɢɫɬɟɦɢ0LFUR6KXQWɩɪɨɬɢɩɨɤɚɡɚɧɚɡɚɧɚɜɟɞɟɧɢɯɧɢɠɱɟɨɛɫɬɚɜɢɧɿɡɚɯɜɨɪɸɜɚɧɶ
ɁȺɄɊɂɌɈɄɍɌɈȼȺȽɅȺɍɄɈɆȺɇȺəȼɇȱɋɌɖɊɍȻɐȱȼɄɈɇ ɘɇɄɌɂȼɂɉɈɉȿɊȿȾɇəȱɇɐɂɁȱɃɇȺɈɎɌȺɅɖɆɈɅɈȽȱɑɇȺɈɉȿɊȺɐȱəȱɁɁȺɑȿɉɅȿɇɇəɆɄɈɇ¶ɘɄɌɂȼɂȺȻɈȱɇɒȱɄɈɇ¶ɘɄɌɂȼȺɅɖɇȱɉȺɌɈɅɈȽȱȲɇȺɉɊɂɄɅȺȾɌɈɇɄȺɄɈɇ¶ɘɄɌɂȼȺɉɌȿɊɂȽȱɃ ɍɐȱɅɖɈȼɈɆɍɄȼȺȾɊȺɇɌȱȺɄɌɂȼɇȺɇȿɈȼȺɋɄɍɅəɊɂɁȺɐȱəɊȺɃȾɍɀɇɈȲɈȻɈɅɈɇɄɂȺɄɌɂȼɇȿɁȺɉȺɅȿɇɇə ɇȺɉɊɂɄɅȺȾȻɅȿɎȺɊɂɌɄɈɇ¶ɘɄɌɂȼȱɌɋɄɅȿɊɂɌ
ɄȿɊȺɌɂɌɍȼȿȲɌ ɋɄɅɂɋɌȿɌȱɅɈȼɉȿɊȿȾɇȱɃɄȺɆȿɊȱɇȺəȼɇȱɋɌɖɉȿɊȿȾɇɖɈɄȺɆȿɊɇɂɏ
ȱɇɌɊȺɈɄɍɅəɊɇɂɏɅȱɇɁ ɉɄȱɈɅ ȱɇɌɊȺɈɄɍɅəɊɇȺɋɂɅȱɄɈɇɈȼȺɈɅȱəɁȺɋɌȿɊȿɀȿɇɇə
Ɋɟɰɟɩɬɭɪɧɢɣɩɪɨɞɚɠɐɟɣɩɪɢɫɬɪɿɣɦɨɠɧɚɩɪɨɞɚɜɚɬɢɥɢɲɟɥɿɤɚɪɹɦɚɛɨɡɚɪɨɡɩɨɪɹɞɠɟɧɧɹɦɥɿɤɚɪɹ
ɅɢɲɟɨɞɧɨɪɚɡɨɜɟɜɢɤɨɪɢɫɬɚɧɧɹɁɚɛɨɪɨɧɹɽɬɶɫɹɜɢɤɨɪɢɫɬɨɜɭɜɚɬɢɜɞɪɭɝɟɚɛɨɩɨɜɬɨɪɧɨɫɬɟɪɢɥɿɡɭɜɚɬɢ
Ȼɚɝɚɬɨɪɚɡɨɜɟɜɢɤɨɪɢɫɬɚɧɧɹɚɛɨɩɨɜɬɨɪɧɚɫɬɟɪɢɥɿɡɚɰɿɹɦɨɠɭɬɶɡɚɲɤɨɞɢɬɢɫɬɪɭɤɬɭɪɧɿɣɰɿɥɿɫɧɨɫɬɿɩɪɢɫɬɪɨɸɬɚ
ɚɛɨɩɪɢɡɜɟɫɬɢɞɨɣɨɝɨɜɿɞɦɨɜɢɳɨɜɫɜɨɸɱɟɪɝɭɦɨɠɟɫɟɪɣɨɡɧɨɬɪɚɜɦɭɜɚɬɢɩɚɰɿɽɧɬɚɚɠɞɨɡɚɯɜɨɪɸɜɚɧɧɹ
ɜɬɪɚɬɢɡɨɪɭɚɛɨɫɦɟɪɬɿȻɚɝɚɬɨɪɚɡɨɜɟɜɢɤɨɪɢɫɬɚɧɧɹɚɛɨɩɨɜɬɨɪɧɚɫɬɟɪɢɥɿɡɚɰɿɹɦɨɠɭɬɶɬɚɤɨɠɫɩɪɢɱɢɧɢɬɢɪɢɡɢɤ
ɡɚɛɪɭɞɧɟɧɧɹɩɪɢɫɬɪɨɸɬɚɚɛɨɜɢɤɥɢɤɚɬɢɿɧɮɟɤɰɿɸɚɛɨɩɟɪɟɯɪɟɫɧɟɡɚɪɚɠɟɧɧɹɜɩɚɰɿɽɧɬɚɜɤɥɸɱɧɨɡɦɨɠɥɢɜɿɫɬɸ
ɩɟɪɟɧɟɫɟɧɧɹɿɧɮɟɤɰɿʀɜɿɞɨɞɧɨɝɨɩɚɰɿɽɧɬɚɞɨɿɧɲɨɝɨɁɚɛɪɭɞɧɟɧɧɹɩɪɢɫɬɪɨɸɦɨɠɟɫɬɚɬɢɩɪɢɱɢɧɨɸɬɪɚɜɦɢ
ɜɬɪɚɬɢɡɨɪɭɯɜɨɪɨɛɢɚɛɨɧɚɜɿɬɶɫɦɟɪɬɿɩɚɰɿɽɧɬɚ
ȼɢɤɨɪɢɫɬɚɧɢɣɩɪɢɫɬɪɿɣɬɚɣɨɝɨɩɚɤɭɜɚɧɧɹɫɥɿɞɭɬɢɥɿɡɭɜɚɬɢɡɝɿɞɧɨɡɩɪɚɜɢɥɚɦɢɳɨɞɿɸɬɶɭɥɿɤɚɪɧɿɚɬɚɤɨɠ
ɜɿɞɩɨɜɿɞɧɨɞɨɚɞɦɿɧɿɫɬɪɚɬɢɜɧɢɯɿɚɛɨɦɿɫɰɟɜɢɯɭɪɹɞɨɜɢɯɪɨɡɩɨɪɹɞɠɟɧɶ
Ⱦɨɜɝɨɬɟɪɦɿɧɨɜɢɣɜɩɥɢɜɦɿɬɨɦɿɰɢɧɭɋ ɆɆɋ ɹɤɢɣɜɢɤɨɪɢɫɬɨɜɭɽɬɶɫɹɜɰɶɨɦɭɩɪɢɫɬɪɨʀɧɟɨɰɿɧɸɜɚɥɢȼɢɪɨɛɧɢɤ
ɧɚɩɨɥɟɝɥɢɜɨɪɚɞɢɬɶɜɠɢɜɚɬɢɜɫɿɯɡɚɫɬɟɪɟɠɧɢɯɡɚɯɨɞɿɜɿɡɞɿɣɫɧɸɜɚɬɢɜɫɿɜɬɪɭɱɚɧɧɹɩɨɜ¶ɹɡɚɧɿɿɡɜɠɢɜɚɧɧɹɦ
ɦɿɬɨɦɿɰɢɧɭ
ɇɟɞɨɩɭɫɤɚɣɬɟɛɟɡɩɨɫɟɪɟɞɧɶɨɝɨɤɨɧɬɚɤɬɭ0LFUR6KXQWɡɪɟɱɨɜɢɧɚɦɢɧɚɨɫɧɨɜɿɩɟɬɪɨɥɚɬɭɦɚ ɜɚɡɟɥɿɧɭ ɧɚɩɪɢɤɥɚɞɿɡɦɚɡɡɸɞɢɫɩɟɪɫɿɽɸɬɨɳɨ
ɇɚɫɥɿɞɤɢɪɨɡɪɿɡɚɧɧɹɚɛɨɦɨɞɢɮɿɤɚɰɿʀɦɿɤɪɨɲɭɧɬɚ35(6(5)/20LFUR6KXQWɧɟɨɰɿɧɸɜɚɥɢɫɹ
ȼɿɫɤɨɟɥɚɫɬɢɱɧɿɩɪɟɩɚɪɚɬɢɧɟɩɪɨɯɨɞɢɥɢɜɢɩɪɨɛɭɜɚɧɧɹɪɚɡɨɦɿɡɰɢɦɩɪɢɫɬɪɨɽɦȼɨɞɧɨɱɚɫɦɨɠɥɢɜɟɡɚɫɬɨɫɭɜɚɧɧɹ
ɝɿɞɪɨɤɫɢɩɪɨɩɿɥɦɟɬɢɥɰɟɥɸɥɨɡɢ ɇɊɆɋ ɭɜɢɩɚɞɤɚɯɤɨɥɢɜɫɿɿɧɲɿɦɟɬɨɞɢɥɿɤɭɜɚɧɧɹɡɚɡɧɚɥɢɧɟɜɞɚɱɿ ɭɜɢɩɚɞɤɭ
ɬɟɪɦɿɧɨɜɨɝɨɜɬɪɭɱɚɧɧɹ ȼɢɤɨɪɢɫɬɚɧɧɹɇɊɆɋ²ɨɫɬɚɧɧɹɦɨɠɥɢɜɿɫɬɶɤɨɪɟɤɰɿʀɫɩɥɨɳɟɧɧɹɤɚɦɟɪɢɨɤɚɩɿɞɱɚɫ
ɭɫɬɚɧɨɜɥɟɧɧɹɫɢɫɬɟɦɢ0LFUR6KXQWɇɊɆɋɜɢɤɥɢɤɚɽɪɢɡɢɤɬɨɝɨɳɨɜɢɬɿɤɚɧɧɹɪɿɞɢɧɢɱɟɪɟɡɩɪɢɫɬɪɿɣɡɭɩɢɧɢɬɶɫɹɧɚ
ɬɢɠɞɟɧɶɚɛɨɤɿɥɶɤɚɬɢɠɧɿɜɩɿɫɥɹɜɢɤɨɪɢɫɬɚɧɧɹɳɨɦɨɠɟɩɨɬɪɟɛɭɜɚɬɢɩɢɥɶɧɨɝɨɚɛɨɱɚɫɬɿɲɨɝɨɜɢɦɿɪɸɜɚɧɧɹɨɱɧɨɝɨɬɢɫɤɭ
ɁȺɉɈȻȱɀɇȱɁȺɏɈȾɂ
Ȼɟɡɩɟɤɭɬɚɟɮɟɤɬɢɜɧɿɫɬɶ0LFUR6KXQWɧɟɛɭɥɨɜɢɡɧɚɱɟɧɨɜɩɚɰɿɽɧɬɿɜɡɚɬɚɤɢɯɨɛɫɬɚɜɢɧɚɛɨɡɬɚɤɢɦɢɯɜɨɪɨɛɚɦɢ
ż ɯɪɨɧɿɱɧɟɡɚɩɚɥɟɧɧɹɨɱɟɣ
ż ɜɪɨɞɠɟɧɚɚɛɨɿɧɮɚɧɬɢɥɶɧɚɝɥɚɭɤɨɦɚ
ż ɧɟɨɜɚɫɤɭɥɹɪɧɚɝɥɚɭɤɨɦɚ
ż ɭɜɟɚɥɶɧɚɝɥɚɭɤɨɦɚ
ż ɩɫɟɜɞɨɟɤɫɮɨɥɿɚɬɢɜɧɚɚɛɨɩɿɝɦɟɧɬɚɪɧɚɝɥɚɭɤɨɦɚ
ż ɿɧɲɿɜɬɨɪɢɧɧɿɜɿɞɪɢɤɬɨɤɭɬɨɜɿɝɥɚɭɤɨɦɢ
ż ɩɨɩɟɪɟɞɧɹɿɧɰɢɡɿɣɧɚɨɩɟɪɚɰɿɹɱɟɪɟɡɝɥɚɭɤɨɦɭɚɛɨɩɪɨɰɟɞɭɪɢɡɚɛɥɹɰɿʀɰɢɥɿɚɪɧɨɝɨɬɿɥɚ

Ɂɛɟɪɿɝɚɣɬɟɡɚɭɦɨɜɤɨɧɬɪɨɥɶɨɜɚɧɨʀɤɿɦɧɚɬɧɨʀɬɟɦɩɟɪɚɬɭɪɢ & ɡɚɩɨɛɿɝɚɸɱɢɜɩɥɢɜɭɧɚɞɦɿɪɧɨɝɨɬɟɩɥɚɬɚ
ɜɨɥɨɝɢɚɬɚɤɨɠɭɧɢɤɚɸɱɢɞɿʀɩɪɹɦɨɝɨɫɨɧɹɱɧɨɝɨɫɜɿɬɥɚɬɚɜɨɞɢ
ȱɇɋɌɊɍɄɐȱəɁȼɂɄɈɊɂɋɌȺɇɇə
Ʉɨɪɢɫɬɭɜɚɱɦɚɽɩɨɩɟɪɟɞɧɶɨɩɪɨɣɬɢɧɚɜɱɚɧɧɹɿɡɡɚɫɬɨɫɭɜɚɧɧɹɰɶɨɝɨɩɪɢɫɬɪɨɸ
ɏɿɪɭɪɝɿɱɧɟɜɬɪɭɱɚɧɧɹ
1. ɁɧɟɛɨɥɸɜɚɧɧɹɌɢɩɡɧɟɛɨɥɸɜɚɧɧɹɞɥɹɜɜɟɞɟɧɧɹɩɿɞɱɚɫɩɪɨɰɟɞɭɪɢɡɚɥɢɲɚɽɬɶɫɹɧɚɪɨɡɫɭɞɯɿɪɭɪɝɚ
2. ɉɿɞɝɨɬɭɜɚɧɧɹ35(6(5)/20LFUR6KXQWD Ɋɟɬɟɥɶɧɨɨɝɥɹɧɶɬɟɩɚɤɟɬɿɡ35(6(5)/20LFUR6KXQWɍɪɚɡɿ
ɩɨɲɤɨɞɠɟɧɧɹɩɚɤɟɬɭɜɢɤɨɪɢɫɬɨɜɭɜɚɬɢɩɪɢɫɬɪɿɣɡɚɛɨɪɨɧɹɽɬɶɫɹɛ ȼɢɣɦɿɬɶɩɪɢɫɬɪɿɣ35(6(5)/20LFUR6KXQW
ɡɿɫɬɟɪɢɥɶɧɨɝɨɩɚɤɭɜɚɧɧɹɬɚɩɨɤɥɚɞɿɬɶɣɨɝɨɧɚɫɬɟɪɢɥɶɧɟɩɨɥɟɜ Ɂɜɨɥɨɠɬɟɩɪɢɫɬɪɿɣ0LFUR6KXQWɡɚɞɨɩɨɦɨɝɨɸ
ɡɛɚɥɚɧɫɨɜɚɧɨɝɨɫɨɥɹɧɨɝɨɪɨɡɱɢɧɭ %66 
3. ɉɥɚɧɭɜɚɧɧɹɩɨɥɨɠɟɧɧɹɿɦɩɥɚɧɬɭɆɿɫɰɟɜɜɟɞɟɧɧɹ0LFUR6KXQWɡɚɥɢɲɚɽɬɶɫɹɧɚɪɨɡɫɭɞɯɿɪɭɪɝɚɜɧɚɞɧɨɫɨɜɢɣ
ɚɛɨɧɚɞɫɤɪɨɧɟɜɢɣɤɜɚɞɪɚɧɬɨɤɚɛɟɡɡɚɱɟɩɥɟɧɧɹɩɪɹɦɢɯɦ¶ɹɡɿɜ
4. ȼɿɞɬɹɝɧɟɧɧɹɪɨɝɿɜɤɢɬɚɭɬɜɨɪɟɧɧɹɤɥɚɩɬɹɤɨɧ¶ɸɧɤɬɢɜɢɤɚɩɫɭɥɢɌɟɧɨɧɚɏɿɪɭɪɝɦɚɽɧɚɜɥɚɫɧɢɣɪɨɡɫɭɞ
ɜɿɞɬɹɝɧɭɬɢɪɨɝɿɜɤɭɡɚɞɨɩɨɦɨɝɨɸɲɜɚɍɡɚɩɥɚɧɨɜɚɧɨɦɭɯɿɪɭɪɝɿɱɧɨɦɭɩɨɥɿɬɪɟɛɚɡɪɨɛɢɬɢɩɟɪɢɬɨɦɿɸɞɨɜɠɢɧɨɸ
±ɦɦɚɩɨɬɿɦɪɨɡɫɿɱɟɧɧɹɭɬɜɨɪɢɜɲɢɫɭɛɤɨɧ¶ɸɧɤɬɢɜɚɥɶɧɭɫɭɛɬɟɧɨɧɨɜɭɤɢɲɟɧɸ ɨɫɧɨɜɨɸɞɨɫɤɥɟɩɿɧɧɹ
ɤɨɧ¶ɸɧɤɬɢɜɢ ɡɚɨɤɪɭɠɧɿɫɬɸ±ɝɪɚɞɭɫɿɜɩɨɱɢɧɚɸɱɢɩɨɪɹɞɿɡɥɿɦɛɨɦɝɥɢɛɢɧɨɸɧɟɦɟɧɲɟɦɦ
ɉɟɪɟɤɨɧɚɣɬɟɫɹɜɬɨɦɭɳɨɧɚɞɿɥɹɧɰɿɞɟɩɥɚɧɭɽɬɶɫɹɜɜɟɞɟɧɧɹ0LFUR6KXQWɧɟɦɚɽɚɤɬɢɜɧɨʀɤɪɨɜɨɬɟɱɿɇɟɞɨɩɭɫɤɚɣɬɟ
ɧɚɞɥɢɲɤɨɜɨʀɤɚɭɬɟɪɢɡɚɰɿʀɰɟɦɨɠɟɩɿɞɜɢɳɢɬɢɪɢɡɢɤɭɬɜɨɪɟɧɧɹɪɭɛɰɿɜ
ɁɚɫɬɨɫɭɜɚɧɧɹɆɆɋɏɿɪɭɪɝɧɚɜɥɚɫɧɢɣɪɨɡɫɭɞɦɨɠɟɩɨɤɥɚɫɬɢɝɭɛɤɢɡɦɨɱɟɧɿ00&ɧɚɫɤɥɟɪɭɩɿɞ
ɫɭɛɤɨɧ¶ɸɧɤɬɢɜɚɥɶɧɭɫɭɛɬɟɧɨɧɨɜɭɤɢɲɟɧɸɩɟɪɟɤɨɧɚɜɲɢɫɶɳɨɜɨɧɢɧɟɬɨɪɤɚɸɬɶɫɹɤɪɚɸɪɚɧɢɤɨɧ¶ɸɧɤɬɢɜɢ
ȼɢɞɚɥɿɬɶɝɭɛɤɢɬɚɩɪɨɦɢɣɬɟɜɟɥɢɤɨɸɤɿɥɶɤɿɫɬɸ%66 ɛɿɥɶɲɟɦɥ ɉɿɞɝɨɬɭɜɚɧɧɹɞɿɥɹɧɤɢɜɯɨɞɭɞɨɩɟɪɟɞɧɶɨʀɤɚɦɟɪɢɉɨɫɬɚɜɬɟɦɚɪɤɟɪɧɿɜɿɞɦɿɬɤɢ ɫɤɥɟɪɚɥɶɧɢɣɦɚɪɤɟɪ 
±ɦɦɪɭɱɤɨɸɦɚɪɤɟɪɨɦ ɝɟɧɰɿɚɧɜɿɨɥɟɬ ɿɜɿɞɦɿɬɶɬɟɬɨɱɤɭɜɦɦɜɿɞɥɿɦɛɭ
Dɉɪɢɜɢɤɨɪɢɫɬɚɧɧɿɧɨɠɚɪɨɡɲɚɪɨɜɭɜɚɱɚɡɞɜɨɦɚɪɿɠɭɱɢɦɢɤɪɨɦɤɚɦɢɦɦɭɜɿɞɦɿɱɟɧɿɣɬɨɱɰɿ
ɫɬɜɨɪɿɬɶɫɤɥɟɪɚɥɶɧɢɣɬɭɧɟɥɶɜɩɟɪɟɞɧɸɤɚɦɟɪɭ ɉɄ ɨɤɚɡɚɯɨɞɹɱɢɩɪɨɫɬɨɧɚɞɩɥɨɳɢɧɨɸɪɚɣɞɭɠɧɨʀ
ɨɛɨɥɨɧɤɢ ɪɿɜɟɧɶɬɪɚɛɟɤɭɥɹɪɧɨʀɫɿɬɤɢ ȾɥɹɡɨɜɧɿɲɧɶɨɝɨɫɩɪɹɦɭɜɚɧɧɹɜɜɿɣɞɿɬɶɭɉɄɩɪɨɫɬɨɩɿɞɫɟɪɟɞɧɶɨɸ
ɦɟɠɟɸɯɿɪɭɪɝɿɱɧɨɝɨɥɿɦɛɭ ɡɚɞɧɹɦɟɠɚɫɢɧɶɨʀɫɿɪɨʀɡɨɧɢɹɤɚɦɚɽɡɜɧɭɬɪɿɲɧɶɨɝɨɛɨɤɭɧɚɥɹɝɚɬɢɧɚɥɿɧɿɸ
ɒɜɚɥɶɛɟ ɹɤɳɨɽɋɤɥɟɪɚɥɶɧɢɣɬɭɧɟɥɶɛɭɞɟɡɚɜɟɪɲɟɧɨɤɨɥɢɛɭɞɟɫɬɜɨɪɟɧɨɫɤɥɟɪɚɥɶɧɭɤɢɲɟɧɸɞɨɜɠɢɧɨɸ
ɦɦɧɚɞɢɫɬɚɥɶɧɨɦɭɤɿɧɰɿɫɤɥɟɪɚɥɶɧɨɝɨɬɭɧɟɥɸɤɭɞɢɡɚɤɪɿɩɥɸɸɬɶɬɭɱɚɫɬɢɧɭɩɪɢɫɬɪɨɸ0LFUR6KXQWɧɚɹɤɿɣ
ɪɨɡɬɚɲɨɜɚɧɿ©ɩɟɪɚªɮɿɤɫɚɬɨɪɢ
Eɉɪɢɜɢɤɨɪɢɫɬɚɧɧɿɡɿɝɧɭɬɨɝɨɧɨɠɚɞɥɹɬɭɧɟɥɶɧɨɝɨɪɨɡɪɿɡɭɦɦɭɜɿɞɦɿɱɟɧɿɣɬɨɱɰɿɫɬɜɨɪɿɬɶɧɟɝɥɢɛɨɤɭ
ɫɤɥɟɪɚɥɶɧɭɤɢɲɟɧɸɞɨɜɠɢɧɨɸɦɦɤɭɞɢɡɚɤɪɿɩɥɸɸɬɶɬɭɱɚɫɬɢɧɭɩɪɢɫɬɪɨɸ0LFUR6KXQWɧɚɹɤɿɣɪɨɡɬɚɲɨɜɚɧɿ
©ɩɟɪɚªɮɿɤɫɚɬɨɪɢȼɫɬɚɜɬɟɝɨɥɤɭɤɚɥɿɛɪɨɦ*ɭɫɤɥɟɪɚɥɶɧɭɤɢɲɟɧɸɬɚɫɬɜɨɪɿɬɶɫɤɥɟɪɚɥɶɧɢɣɬɭɧɟɥɶɜ
ɉɄɡɚɯɨɞɹɱɢɩɪɨɫɬɨɧɚɞɩɥɨɳɢɧɨɸɪɚɣɞɭɠɧɨʀɨɛɨɥɨɧɤɢ ɪɿɜɟɧɶɬɪɚɛɟɤɭɥɹɪɧɨʀɫɿɬɤɢ Ⱦɥɹɡɨɜɧɿɲɧɶɨɝɨ
ɫɩɪɹɦɭɜɚɧɧɹɜɜɿɣɞɿɬɶɭɉɄɩɪɨɫɬɨɩɿɞɫɟɪɟɞɧɶɨɸɦɟɠɟɸɯɿɪɭɪɝɿɱɧɨɝɨɥɿɦɛɭ ɡɚɞɧɹɦɟɠɚɫɢɧɶɨʀɫɿɪɨʀɡɨɧɢɹɤɚ
ɦɚɽɡɜɧɭɬɪɿɲɧɶɨɝɨɛɨɤɭɧɚɥɹɝɚɬɢɧɚɥɿɧɿɸɒɜɚɥɶɛɟ ɹɤɳɨɽ
ȼɜɟɞɟɧɧɹɩɪɢɫɬɪɨɸ0LFUR6KXQWɭɩɟɪɟɞɧɸɤɚɦɟɪɭɨɤɚɁɚɞɨɩɨɦɨɝɨɸɧɟɡɭɛɱɚɫɬɨɝɨɩɿɧɰɟɬɚɫɩɪɹɦɭɣɬɟ
ɬɪɭɛɤɭɩɪɢɫɬɪɨɸ0LFUR6KXQWɫɤɿɫɧɢɦɤɪɚɽɱɤɨɦɞɨɪɨɝɿɜɤɢɬɚɩɿɞɧɟɫɿɬɶʀʀɞɨɫɤɥɟɪɚɥɶɧɨʀɤɢɲɟɧɿɫɤɥɟɪɚɥɶɧɨɝɨ
ɬɭɧɟɥɸɬɪɢɦɚɸɱɢɩɪɢɫɬɪɿɣɬɚɤɳɨɛɩɥɨɳɢɧɚ©ɩɟɪɚªɮɿɤɫɚɬɨɪɚɪɨɡɬɚɲɨɜɭɜɚɥɚɫɹɩɚɪɚɥɟɥɶɧɨɩɨɜɟɪɯɧɿ
ɫɤɥɟɪɢɈɛɟɪɟɠɧɨɜɜɟɞɿɬɶɩɪɢɫɬɪɿɣ0LFUR6KXQWɭɫɤɥɟɪɚɥɶɧɭɤɢɲɟɧɸɫɤɥɟɪɚɥɶɧɢɣɬɭɧɟɥɶɬɚɤɢɦɱɢɧɨɦɳɨɛ
©ɩɟɪɨªɭɜɿɣɲɥɨɩɿɞɫɤɥɟɪɚɥɶɧɭɤɢɲɟɧɸɇɚɞɦɿɪɧɿɡɭɫɢɥɥɹɩɪɢɡɜɟɞɭɬɶɞɨ0LFUR6KXQWɬɚɭɫɤɥɚɞɧɹɬɶɜɜɟɞɟɧɧɹ
ɩɪɢɫɬɪɨɸəɤɳɨɰɟɧɟɦɨɠɥɢɜɨɦɨɠɧɚɡɪɨɛɢɬɢɧɨɜɭɫɤɥɟɪɚɥɶɧɭɤɢɲɟɧɸɫɤɥɟɪɚɥɶɧɢɣɬɭɧɟɥɶɩɪɢɛɥɢɡɧɨɜ
ɦɦɡɛɭɞɶɹɤɨɝɨɛɨɤɭɜɿɞɩɟɪɲɨɝɨəɤɳɨɩɿɞɱɚɫɩɪɨɰɟɞɭɪɢɩɪɢɫɬɪɿɣ0LFUR6KXQWɛɭɞɟɩɨɲɤɨɞɠɟɧɨɬɪɟɛɚ
ɜɡɹɬɢɧɨɜɢɣɩɪɢɫɬɪɿɣ0LFUR6KXQWɬɚɫɤɨɪɢɫɬɚɬɢɫɹɧɨɜɨɸɫɤɥɟɪɚɥɶɧɨɸɤɢɲɟɧɟɸɫɤɥɟɪɚɥɶɧɢɦɬɭɧɟɥɟɦɉɿɫɥɹ
ɭɫɩɿɲɧɨɝɨɜɜɟɞɟɧɧɹ0LFUR6KXQWɩɟɪɟɤɨɧɚɣɬɟɫɹɳɨɩɪɨɤɫɢɦɚɥɶɧɢɣɤɿɧɟɰɶɬɪɭɛɤɢɜɉɄɧɟɬɨɪɤɚɽɬɶɫɹɪɨɝɿɜɤɢɱɢ
ɪɚɣɞɭɠɧɨʀɨɛɨɥɨɧɤɢɬɚɳɨɜɨɞɹɧɢɫɬɚɜɨɥɨɝɚɜɢɬɿɤɚɽɡɞɢɫɬɚɥɶɧɨɝɨɤɿɧɰɹɉɿɫɥɹɱɨɝɨɜɫɬɚɜɬɟɤɿɧɟɰɶ0LFUR6KXQW
ɩɿɞɫɭɛɤɨɧ¶ɸɧɤɬɢɜɚɥɶɧɢɣɫɭɛɬɟɧɨɧɨɜɢɣɤɥɚɩɨɬɶɧɚɩɨɜɟɪɯɧɿɫɤɥɟɪɢ ɩɟɪɟɤɨɧɚɜɲɢɫɶɳɨɩɪɢɫɬɪɿɣɧɟɜɢɝɧɭɜɫɹɬɚ
ɧɟɡɚɫɬɪɹɝɭɤɚɩɫɭɥɿɌɟɧɨɧɚ əɤɳɨɜɢɧɟɛɚɱɢɬɟɜɢɬɨɤɭɜɨɥɨɝɢɜɢɦɨɠɟɬɟɜɢɤɨɧɚɬɢɨɞɧɭɡɬɚɤɢɯɞɿɣɨɛɟɪɟɠɧɨ
ɧɚɬɢɫɧɿɬɶɧɚɨɤɨ ɫɤɥɟɪɭɥɿɦɛɪɨɝɿɜɤɭ ɧɚɩɨɜɧɸɸɱɢɩɟɪɟɞɧɸɤɚɦɟɪɭ%66ɱɟɪɟɡɩɭɧɤɰɿɸɚɛɨɜɿɡɶɦɿɬɶɜɢɝɧɭɬɭ
ɬɨɧɤɨɫɬɿɧɧɭɤɚɧɸɥɸɞɨɜɠɢɧɨɸɦɦɤɚɥɿɛɪɭ*ɬɚɜɩɨɪɫɧɿɬɶ%66ɭɞɢɫɬɚɥɶɧɢɣɤɿɧɟɰɶ0LFUR6KXQWɳɨɛ
ɡɚɩɨɜɧɢɬɢɬɪɭɛɤɭəɤɳɨɜɢɬɨɤɪɿɞɢɧɢɧɟɡ¶ɹɜɥɹɽɬɶɫɹɩɪɢɫɬɪɿɣɬɪɟɛɚɩɟɪɟɦɿɫɬɢɬɢɚɛɨɡɚɦɿɧɢɬɢ
ɉɟɪɟɜɿɪɤɚɪɨɡɬɚɲɭɜɚɧɧɹɦɿɤɪɨɲɭɧɬɚɜɤɭɬɿɩɟɪɟɞɧɶɨʀɤɚɦɟɪɢɨɤɚɉɿɞɱɚɫɨɩɟɪɚɰɿʀɪɟɤɨɦɟɧɞɭɽɬɶɫɹ
ɜɢɤɨɧɚɬɢɝɨɧɿɨɫɤɨɩɿɸɳɨɛɨɰɿɧɢɬɢɪɨɡɬɚɲɭɜɚɧɧɹɩɪɨɤɫɢɦɚɥɶɧɨɝɨɤɿɧɱɢɤɚ0LFUR6KXQWɭɩɟɪɟɞɧɿɣɤɚɦɟɪɿɨɤɚɬɚ
ɜɩɟɜɧɢɬɢɫɹɜɬɨɦɭɳɨɜɿɧɪɨɡɬɚɲɨɜɚɧɢɣɧɚɞɨɫɬɚɬɧɶɨɦɭɜɿɞɞɚɥɟɧɿɜɿɞɪɨɝɿɜɤɢɚɛɨɪɚɣɞɭɠɧɨʀɨɛɨɥɨɧɤɢ
Ɂɚɲɢɜɚɧɧɹɤɨɧ¶ɸɧɤɬɢɜɢɉɨɜɟɪɧɿɬɶɤɚɩɫɭɥɭɌɟɧɨɧɚɬɚɤɨɧ¶ɸɧɤɬɢɜɭɧɚɥɿɦɛɬɚɡɚɲɢɣɬɟɜɢɤɨɪɢɫɬɨɜɭɸɱɢ
ɲɨɜɧɢɣɦɚɬɟɪɿɚɥɹɤɢɣɜɠɟɞɨɜɝɨɬɚɭɫɩɿɲɧɨɜɢɤɨɪɢɫɬɨɜɭɽɬɶɫɹɫɩɟɰɿɚɥɿɫɬɚɦɢɡɥɿɤɭɜɚɧɧɹɝɥɚɭɤɨɦɢ ɧɚɩɪɢɤɥɚɞ
ɧɟɣɥɨɧɱɢɜɿɤɪɢɥ Ⱦɥɹɩɟɪɟɜɿɪɤɢɧɚɹɜɧɨɫɬɿɜɢɬɨɤɭɡɤɨɧ¶ɸɧɤɬɢɜɢɜɢɤɨɪɢɫɬɨɜɭɣɬɟɡɜɨɥɨɠɟɧɭɫɦɭɠɤɭɡ
ɮɥɭɨɪɟɫɰɟʀɧɨɦɇɚɹɜɧɢɣɜɢɬɿɤɦɨɠɧɚɥɿɤɜɿɞɭɜɚɬɢɞɨɞɚɬɤɨɜɢɦɢɲɜɚɦɢɉɟɪɟɜɿɪɬɟɬɚɤɟɩɪɨɤɫɢɦɚɥɶɧɢɣɤɿɧɟɰɶ
ɩɪɢɫɬɪɨɸ0LFUR6KXQWɦɚɽɛɭɬɢɜɩɟɪɟɞɧɿɣɤɚɦɟɪɿɨɤɚɞɢɫɬɚɥɶɧɢɣɤɿɧɟɰɶ0LFUR6KXQWɦɚɽɛɭɬɢɪɿɜɧɢɦɿɧɟɩɨɜɢɧɟɧ
ɡɚɫɬɪɹɝɚɬɢɜɤɚɩɫɭɥɿɌɟɧɨɧɚəɤɳɨɛɭɥɨɜɢɤɨɪɢɫɬɚɧɨɲɨɜɞɥɹɜɿɞɬɹɝɭɜɚɧɧɹɪɨɝɿɜɤɢɜɿɞɩɭɫɬɿɬɶɣɨɝɨɁɚɩɨɬɪɟɛɢ
ɩɿɫɥɹɨɩɟɪɚɰɿʀɧɚɧɟɫɿɬɶɚɧɬɢɛɿɨɬɢɤɢɬɚɫɬɟɪɨʀɞɧɿɦɟɞɢɱɧɿɩɪɟɩɚɪɚɬɢ
ȼɢɤɨɪɢɫɬɚɧɢɣɩɪɢɫɬɪɿɣɬɚɣɨɝɨɩɚɤɭɜɚɧɧɹɫɥɿɞɭɬɢɥɿɡɭɜɚɬɢɡɝɿɞɧɨɡɩɪɚɜɢɥɚɦɢɳɨɞɿɸɬɶɭɥɿɤɚɪɧɿɚɬɚɤɨɠ
ɜɿɞɩɨɜɿɞɧɨɞɨɚɞɦɿɧɿɫɬɪɚɬɢɜɧɢɯɿɚɛɨɦɿɫɰɟɜɢɯɭɪɹɞɨɜɢɯɪɨɡɩɨɪɹɞɠɟɧɶȾɥɹɧɚɥɟɠɧɨʀɭɬɢɥɿɡɚɰɿʀɆɆɋɜɢɤɨɧɭɣɬɟ
ɜɿɞɩɨɜɿɞɧɿɜɤɚɡɿɜɤɢɳɨɦɿɫɬɹɬɶɫɹɜɿɧɫɬɪɭɤɰɿʀɡɜɢɤɨɪɢɫɬɚɧɧɹ
ɉɿɫɥɹɨɩɟɪɚɰɿɣɧɢɣɩɟɪɿɨɞ
 ȼɿɞɫɬɟɠɭɣɬɟɜɧɭɬɪɿɲɧɶɨɨɱɧɢɣɬɢɫɤɩɿɞɱɚɫɤɨɠɧɨɝɨɤɨɧɬɪɨɥɶɧɨɝɨɜɿɡɢɬɭɳɨɛɞɿɡɧɚɬɢɫɹɱɢɩɪɢɫɬɪɿɣ
0LFUR6KXQWɦɚɽɩɪɨɯɿɞɧɿɫɬɶ əɤɳɨɬɪɟɛɚɩɟɪɟɫɭɧɭɬɢɜɢɞɚɥɢɬɢ0LFUR6KXQWɱɢɡɚɦɿɧɢɬɢɣɨɝɨɩɪɢɫɬɪɨɽɦɿɧɲɨɝɨɬɢɩɭɱɟɪɟɡɪɨɛɨɱɿ
ɯɚɪɚɤɬɟɪɢɫɬɢɤɢɩɪɢɫɬɪɨɸɫɥɿɞɡɪɨɛɢɬɢɤɨɧ¶ɸɧɤɬɢɜɚɥɶɧɢɣɪɨɡɬɢɧɬɚɤɢɦɫɚɦɢɦɱɢɧɨɦɹɤɰɟɛɭɥɨɡɪɨɛɥɟɧɨ
ɜɩɟɪɲɟɩɪɢɜɫɬɚɧɨɜɥɟɧɧɿɩɪɢɫɬɪɨɸɉɪɢɰɶɨɦɭɩɪɢɫɬɪɿɣɧɟɨɛɯɿɞɧɨɨɝɨɥɢɬɢɩɿɫɥɹɱɨɝɨɣɨɝɨɦɨɠɧɚ
ɩɟɪɟɦɿɫɬɢɬɢɚɛɨɜɢɞɚɥɢɬɢɉɪɢɜɢɞɚɥɟɧɧɿɩɪɢɫɬɪɨɸɫɥɿɞɭɩɟɜɧɢɬɢɫɹɭɜɿɞɫɭɬɧɨɫɬɿɜɢɬɨɤɭɜɨɞɹɧɢɫɬɨʀɜɨɥɨɝɢ
ɡɞɿɥɹɧɤɢɞɨɫɬɭɩɭəɤɳɨɽɜɢɬɿɤɧɟɨɛɯɿɞɧɨɡɚɲɢɬɢɤɚɧɚɥɳɨɛɡɚɝɟɪɦɟɬɢɡɭɜɚɬɢɣɨɝɨɁɚɲɢɜɚɧɧɹɤɨɧ¶ɸɧɤɬɢɜɢ
ɫɥɿɞɜɢɤɨɧɭɜɚɬɢɡɚɩɨɱɚɬɤɨɜɨɸɩɪɨɰɟɞɭɪɨɸ

PRESERFLO™ MicroShunt
Kasutusjuhend (et)Sissejuhatus
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CAW-4168-

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Any serious incident that has occurred in relation to the device should be reported to Santen and thecompetent authority of the Member State in which the user and/or patient is established.

PAGES BELOW ARE NOT PART OF IFU AND DOES NOT REQUIRE TRANSLATION OR PRINTING
Title:
Doc. #
Description:
Prepress:
Preferred Print Vendor:

PreserFlo MicroShunt IFU (GLT-001) - EMEA
CAW-4168-03 [DWG-INF-0321-00]
Folded 8.5" x 11" sheet
Print Ready Digital file provided by InnFocus, Print Ready Proof provided by Docunet.
Docunet Corp.
2435 Xenium Lane North
Plymouth, MN 55441
www.docunetworks.com Tel: (763) 475-9600

PN / Rev.

CAW-4168-03
Specification and Inspection Notes Table:
Specification

1
A
B
2
A
B
3
A
B
4
A
B
C
D
5
A
B
C
D
E

Packaging
Shipper box (Secondary Package) free from visual damage (holes, tears, etc.)
Shipper Box will be lined with a plastic bag (Primary Package) and sealed shut with tape or othermeans that will keep out unwanted contamination during shipping.
Identification and Traceability
Packing list indicating (at a minimum) the PO #, InnFocus P/N and revision and/or manufacturer
P/N, description, and quantity.
Bulk and Assembly Packing will be labeled with (at a minimum) InnFocus P/N and revision and/or
manufacturer P/N, Lot Number, Description and Quantity in each package.
Material Specification(s)Part: PreserFlo MicroShunt IFU (GLT-001) - EMEA
Paper Stock: 40# or 50#
Physical / Functional Specifications
Component must be clean from ink stains, marks, dirt, oils, and other contaminants.
Primary package must be intact, sealed, and free from obvious damage (ie: leaks, breaks, or
broken seals).
Inspect Physical IFU Artwork against CAW-4168
Text Print: Black Throughout
Supplier Notes
Print: Two-sided on 8 ½ x 11-inch paper stock
Finished Size: 4.25” width x 11” height +/- .13
Bindery: Saddle stitched on 11”
Font: Arial - 5 pt. Min.
Languages and sequence: See Table below

Inspection Method

Visual Inspection (unaided eye)

Visual Inspection (unaided eye)Confirm Certificate of Compliance ispresent, and specifications met

Visual Inspection (unaided eye)

N/A

Order Language
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

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Abbreviation
en
da
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fr
de
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