4
These instructions apply to the following families of
HALYARD* products:
• Double Swivel Elbow
• Regular Elbow
• T-Piece
• HALYARD*
WET PAK
*
• HALYARD*
Turbo-Cleaning
Setup:
1. Select appropriate size
HALYARD*
Turbo-Cleaning catheter.
2. Attach thumb control valve to suction tubing.
3. Depress and hold thumb valve and simultaneously adjust vacuum
regulator to desired level.
4. Release thumb control valve and attach
HALYARD*
catheter between
patient and the ventilator circuit.
Suggested Suction Procedure:
1. Stabilize
HALYARD*
catheter and endotracheal (ET) adapter with one
hand then push the catheter into the endotracheal tube with the
thumb and forefinger of the opposite hand
(Fig. 1)
.
2. Advance catheter to desired depth.
3. Depress and hold thumb control valve, then gently withdraw
catheter. Stop withdrawal when black marking ring is visible inside
sleeve
(Fig. 2)
.
4. Release thumb control valve.
5. Repeat steps 1 through 4 above as necessary.
Patient Lavage Instructions:
1. For intubated patient, advance catheter 10-13 cm (4-5 inches)
into the endotracheal tube. For tracheostomy patient, advance the
catheter 3-4 cm (1.5-2 inches) into the tracheostomy tube.
2. Instill desired amount of fluid into the lavage port.
3. Advance catheter to desired depth and follow the above suggested
suction procedure.
Catheter Irrigation Instructions for all REFs
(except HALYARD* Turbo-Cleaning):
1. Be sure the black marking ring is visible in the sleeve
(Fig. 2)
. Open
cap on irrigation port.
2. Introduce fluid slowly into the port, simultaneously depress the
thumb control valve
(Fig. 6)
.
3. Continue to irrigate until catheter is clear
(Fig. 5)
.
4. Close cap on port.
5. Lift and turn thumb control valve 180 degrees to lock position
(Fig. 4)
.
6. Place catheter and suction tubing alongside breathing circuit.
Catheter Irrigation Instructions
(HALYARD* Turbo-Cleaning only):
1. Be sure that the black ring is visible inside the sleeve
(Fig. 2)
. Open
cap on the irrigation port.
2. Insert saline vial (REF 116 or REF 117) into irrigation port.
3. Intermittently depress and release thumb valve
(Fig. 6)
until the
catheter and chamber are clear
(Fig. 5)
, or until the vial is empty.
4. Lift and turn the thumb valve lock.
Control Depth Suction
(Catheters printed with numerical markings only):
1. Align any printed depth number on the catheter with the similar
number printed on the endotracheal tube, or observe the printed
number on the endotracheal tube closest to the endotracheal
tube adapter.
2. Add 6 cm to this number.
3. Advance catheter until the sum (depth plus 6) appears in the
window directly across from irrigation port connector.
4. Catheter tip will be within 1 cm of the end of the artificial airway.
Control Depth Suction
(HALYARD* Turbo-Cleaning only):
1. Follow all the steps above except steps 2 and 3; add 8 to the number.
Thumb Control Valve Operation:
1. The thumb control valve can be locked to prevent inadvertent or
accidental suction. To lock, lift white part of thumb control valve and
rotate 180 degrees. To unlock, repeat this action
(Fig. 4)
.
Day Sticker Usage:
1. HALYARD*
Turbo-Cleaning catheter may be used for no more than 72
hours. All other
HALYARD*
closed suction catheters are to be used for
no more than 24 hours only.
2. Apply the appropriate day sticker to the thumb control valve.
Example: If
HALYARD*
Turbo-Cleaning catheter is opened on
Monday, place the Thursday sticker on the thumb control valve. For
any other REF, place the Tuesday day sticker on the thumb valve.
HALYARD* W
et
P
Ak
* Saline Vial Directions for Use:
1. Twist top to remove.
2. Insert vial into irrigation valve port.
3. Intermittently depress and release thumb valve
(Fig. 6)
until the
catheter and chamber are clear
(Fig. 5)
or until vial is empty.
4. Discard properly after use.
These instructions also apply to the following
configurations of the above families of products:
• Dual Lumen
• Directional Tip
• Tracheostomy Length
• Metered Dose Inhaler Adapter
Dual Lumen:
1. For lavage, advance the catheter to desired depth and instill fluid at
the lavage port located nearest the thumb control valve
(Fig. 3)
.
2. Perform the suction procedure as previously indicated.
Содержание Turbo-Cleaning Closed Suction System for Adults with BALLARD Technology
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