AMT Bridle Pro, Инструкции по применению, показания и противопоказания

Страница: 8 / 112

NOTE: It is preferred to have the patient arranged in supine
position prior to placement. The AMT Bridle Pro
®
may be
placed before or after the nasal tube. Important: Lubricant
is not necessary for use with this AMT Bridle Pro
®
system.
However, lubricant or water may be used on the probe or top
of the AMT Bridle Pro
®
tubing if desired. Insert the probe into
nostril opposite the nasal tube until the first rib is at the bottom
of the nostril. Make adjustments for smaller patients.
Insert the AMT Bridle Pro
®
tubing into the opposite nostril to
approximate the magnets. Pull back on the orange stylet about
1cm (1/2”) until the magnets connect. Lining up the depth
indicator marks on the probe and catheter may assist in magnet
connection. The “click” of the magnets may be heard or felt.
Equal lengths of both probes (minus the orange stylet) should
be exposed.
NOTE FOR PEDIATRIC PATIENTS: Magnet connection may
be more difficult for pediatric patients due to the smaller area
for probe manipulation or due to soft tissue constraints related
to the patient’s intranasal anatomy.
1
3
5 6
4
2
NOTE FOR PEDIATRIC PATIENTS: It is recommended that
the AMT Bridle Pro ® is placed prior to the nasal tube for
pediatric patients. Placement of the AMT Bridle Pro
®
after the
nasal tube may be possible, but may be more difficult due to
the limited intranasal area.
NOTE: The stylet and catheter should be inserted along the
floor of the nostril, towards the back of the throat – not towards
the patient’s eyes.
The Bridle Pro
®
Directions For Use
6
If necessary, gently twist the probes from side to side and/or
up and down to encourage contact between the magnets. If no
contact has occurred, then advance both the bridle tubing and
the probe. Important: Once contact has occurred, remove
the orange stylet completely from the bridle tubing.
WARNING: Moving or non-cooperative (especially pediatric)
patients may cause additional risks during placement. Nasal
anesthetic spray may be used to ease patient comfort. If
appropriate, sedation may be used to assist placement. In
these cases, please consult physician.
Slowly withdraw the probe and allow the bridle tubing to
advance through the nose. Continue until the two black
markings on the bridle tubing are completely pulled up and
through one nostril and at least a couple inches outside the
opposite nostril. This creates a loop or “bridle” around the
vomer bone. If bridle tubing does not advance out of the
opposite nostril, remove bridle tubing, replace the stylet and
start over at Step 1.
Diagrams Page 2-3
Cut and dispose of the bridle tube section containing the
magnet, black markings and the blue probe.
If the nasal tube has not been placed, insert now per the nasal
tube manufacturer’s instructions.
Wipe down the nasal tube and bridle tubing if needed.
Important: Slide the clip up the AMT Bridle Pro
®
tubing
into position. The clip should be located close to nostril,
approximately 1cm (1/2”) or one “finger width” from nostril.
NOTE: The clip should not touch the nostril.
PRO RANGE CLIP:
Place the nasal tube into the clip’s circular nasal tube region.
PRO CLIP: 14, 16, 18FR
Place the nasal tube into the channel or groove.
PRO CLIP: 8, 10, 12FR
Place the nasal tube into the channel or groove.
Diagrams Page 2-3:
1: Insert probe to first rib
2: Nasal Tube
Diagrams Page 2-3:
10: It may be necessary to advance or manipulate the
probe to achieve magnet contact.
• Remove stylet AFTER magnet connection
Diagrams Page 2-3:
13: Bridle Tubing
Diagrams Page 2-3:
11: Withdraw Probe
12: Catheter and bridle tubing will advance to form loop
Diagrams Page 2-3:
14: Nasal Tube
15: Clip
16: Nasal Tube Location (Top Clip)
17: Nasal Tube Location (Middle Clip)
18: Nasal Tube Location (Bottom Clip)
Diagrams Page 2-3:
3: Stylet Handle
4: Bridle Tubing
5: Insert Catheter
6: Vomer
7: Probe With Magnet
8: Catheter With Magnet
9: Palate