ZOLL IVTM Catheter Quattro - Manual (Page 4)

Quattro
®
Catheter
Instructions for Use
Model IC4593/8700-0660-01
4 of 11
106083-001 Rev 2
infusion lumen during line and injection cap changes.
Precaution: To minimize risk of damage to the tubing
from excessive pressure, the clamp must be opened
prior to infusing through the lumen.
12. Caution: Do not clamp or occlude inflow or outflow
lines. This can cause line blockage and possible
failure.
13. Secure and dress insertion site and catheter temporarily.
14 Verify catheter tip position by chest x-ray immediately
after placement. X-ray exam must show the catheter
located in the IVC with the distal end of the catheter
parallel to the vena cava wall. If the catheter tip is
malpositioned, reposition and reverify.
15. Proximal radiopaque marker indicates proximal end of
balloons to ensure that balloons reside completely in
vessel. If catheter is malpositioned, reposition and
reverify.
16. Secure catheter to patient. Use juncture hub side wings
as primary suture site to minimize the risk of catheter
migration.
17. The ZOLL suture tab and clip can also be used as an
additional attachment point. Assure that catheter body
is secure and does not slide.
18. Caution: Use only the ZOLL suture tab and clip
provided in the kit. Catheter damage may result if
other tabs or clips are used.
19. Caution: Do not suture directly to the outside
diameter of the catheter to minimize the risk of
cutting or damaging the catheter or impeding
catheter flow.
20. Dress puncture site per hospital protocol. Maintain the
insertion site with regular meticulous redressing using
aseptic technique.
21. Record on the patient's chart the indwelling catheter
length using the centimeter marks on the catheter shaft
as reference. Frequent visual reassessment should be
made to ensure that the catheter has not moved.
22. Attach a primed Start-Up Kit to Quattro ® Heat
Exchange Catheter by connecting the male luer of the
Start-Up Kit to the female inflow luer of the Quattro
®
catheter and the female luer of the Start-Up Kit to the
male outflow luer of the Quattro
® Catheter. White "
ZOLL" tags are fitted loosely to the INFLOW and
OUTFLOW extension tubes to help identify them.
Assure that a sufficient amount of sterile saline is
present at the ends of the hubs to make an air free
connection. Refer to CoolGard 3000
® /Thermogard
XP ® manual for details on CoolGard
3000 ® /Thermogard XP ® operation.
23. Warning: Failure to connect the Start-Up Kit
correctly to the catheter could result in catheter
failure. Do not attach Start-Up Kit to the brown
luer.
24. Caution: Do not attach Start-Up Kit to distal port.
25. Caution: Do not place any stopcocks in line that may
be inadvertently shut off. This can cause line
blockage and possible failure.
26. Pump saline through Start-Up Kit and catheter to assure
that all connections are secure and that there is no
leaking. Allow any remaining air in system to be
purged out.
Disconnecting Catheter from CoolGard
3000
® /Thermogard XP ® System:
1. Stop circulation of saline through catheter.
2. Disconnect Start-Up Kit from catheter.
3. To maintain sterile connections, immediately cap off
luer connectors of both catheter and Start-Up Kit using
sterile luer caps or connect inflow and outflow luers
together.
Reconnecting Catheter to CoolGard
3000
® /Thermogard XP ® System:
1. Remove luer caps from luer connectors of catheter and
Start-Up Kit and discard or disconnect inflow and
outflow luers from each other.
2. Attach Start-Up Kit to Quattro ® Heat Exchange
Catheter by connecting the male luer of the Start-Up
Kit to the female inflow luer of the Quattro
® Catheter
and the female luer of the Start-Up Kit to the male
outflow luer of the Quattro
® Catheter. Assure that a
sufficient amount of sterile saline is present at the ends
of the hubs make an air free connection.
3. Warning: Failure to connect the Start-Up Kit
correctly to the catheter could result in catheter
failure.
4. Warning: DO NOT confuse the INFLOW and
OUTFLOW Luer fittings for standard central line
infusion ports. They are for connection to the
CoolGard 3000
® /Thermogard XP ® System ONLY.
5. Caution: Do not place any extra stopcocks in line
that may be inadvertently shut off. This can cause
line blockage and possible failure.
Catheter Removal:
1. Stop all pumping of saline through the catheter.
2. Disconnect Start-Up Kit from catheter. Uncap or leave
uncapped the inflow and outflow lumens of the
cooling circuit (cooling circuit ONLY). This will
allow residual saline within the circuit to be expressed.
As catheter is withdrawn, the balloons are compressed.
Saline within the balloons must be free to pass out of
the balloon or the balloon will not deflate making the
catheter difficult to remove.
3. Place patient in supine position. Remove dressing.
Remove sutures from suture site.
4. Slowly remove catheter from patient. As catheter exits
the site apply pressure with a dressing impermeable to
air, e.g. vaseline gauze.
5. Warning: Do not move catheter if resistance is felt.
Check to ensure that the inflow and outflow lumens
of the cooling circuit are NOT capped. If they are
capped, uncap them and try removing the catheter
again. If resistance is still encountered, an x-ray
should be performed to identify the reason for the
resistance.
ZOLL Circulation, Inc.
Sunnyvale, CA 94085
USA
+1-408-541-2140