KCI ABThera, Инструкция по эксплуатации

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Cutting Visceral Protective Layer to Size
1. Cut Visceral Protective Layer away from wound, through center of large foam
squares using sterile scissors (Fig 5A). Do not cut through narrow connecting tabs
between the large foam squares.
2. Pinch the remaining half of the foam square and its connecting tab and pull. The
foam and tab will separate at the next square (Fig. 5B). This will ensure that edges of
Visceral Protective Layer cover exposed foam edge (Fig. 5C) and foam cannot contact
organs (see
WARNING
above).
NOTE: Document number of foam extensions removed and that each piece has been
properly disposed of away from wound cavity.
CAUTION:
Do not tear the foam over the wound, as fragments may fall into the
wound. Rub or trim foam away from wound, removing any fragments to ensure loose
particles will not fall into or be left in the wound upon dressing removal.
A
B
C
PERFORATED FOAM APPLICATION
NOTE: The perforated foam provided with the ABThera
™
(NPT) System is intended to:
1. Transfer negative pressure from the ABThera
™
(NPT) Unit to the Visceral Protective
Layer to promote active fluid removal.
2. Provide medial tension upon foam collapse to help maintain fascial domain.
Application of ABThera
™
(NPT) System with Medial Tension
1. Tear or cut perforated foam to needed size as shown below (Fig. 6A) to provide
ABThera™ Therapy with medial tension. The foam should fit directly over the
Visceral Protective Layer being in contact with all wound edges if medial tension is
desired. Do not allow foam to contact intact skin. One or both pieces of the provided
perforated foam can be used, depending on the wound profile.
2. Gently place perforated foam into wound cavity over the Visceral Protective Layer
(Fig. 6A). Ensure that perforated foam does not go below the level of the abdominal
incision or wound. Do not force foam into any area of the wound.
NOTE: Ensure foam-to-foam contact for even distribution of negative pressure.
NOTE: Always note the total number of pieces of foam used and document on the
drape and in the patient's chart.
WOUND PREPARATION
WARNING:
Review all ABThera ™ (NPT) System Safety Information before beginning Wound
Preparation. Ensure adequate hemostasis has been achieved prior to dressing placement
(refer to
Bleeding
section under
WARNINGS
).
1. Sharp edges or bone fragments must be eliminated from wound area or covered (refer
to
Bleeding
section under
WARNINGS
).
2. Irrigate abdominal wound and cleanse periwound skin as indicated.
3. Clean and dry periwound tissue; consider use of a skin preparation product to protect
periwound skin. Do not allow foam to overlap onto intact skin. Protect fragile / friable
periwound skin with additional drape, hydrocolloid or other transparent film.
ABThera
™
VISCERAL PROTECTIVE LAYER APPLICATION
Size the Visceral Protective Layer by folding or cutting.
WARNING:
The foam in the Visceral Protective Layer is encapsulated for patient safety.
Protect vital structures with Visceral Protective Layer at all times during therapy. Never place
exposed foam material directly in contact with exposed bowel, organs, blood vessels or
nerves.
NOTE: The Visceral Protective Layer is fenestrated to allow for active fluid removal when
negative pressure is applied and is designed to allow application of this layer directly over
omentum or exposed internal organs.
1. Remove contents from inner pouch and unfold the Visceral Protective Layer in a sterile
field. Either side of the Visceral Protective Layer may be placed on the omentum or
viscera.
2. Gently place Visceral Protective Layer over the open abdominal cavity (Fig. 2).
3. Determine the orientation of the dressing for the specific application. If
Visceral Protective Layer will be placed around tubes, drains or the falciform
ligament, cut only
between the foam extensions (see Fig. 1). Do not cut
near or through foam extensions . Orient the Visceral Protective Layer
accordingly before cutting.
Folding Visceral Protective Layer to Size
1. Hold dressing by the edge and slightly lift. Then slowly lower dressing into the paracolic
gutter, while using the other hand to gently and evenly work the dressing down.
(Fig.3). Fold any excess Visceral Protective Layer up and over onto itself.
2. Continue placing Visceral Protective Layer between abdominal wall and internal organs
(Fig. 4) throughout the abdominal compartment. The goal is to ensure full coverage of
all viscera.
Fig. 1
Fig. 6A
Fig. 4
Fig. 3 Fig. 2
Fig. 5