ZOLL IVTM Catheter Icy - Manual (Page 4)

Icy
®
Catheter
Instructions for Use
Model IC-3893A/8700-0657-01 (Also referred to as IC-3893)
4 of 11 106085-001 Rev.2
11. Check lumen placement by attaching a syringe to the
distal infusion luer hub and aspirate until a free flow of
venous blood is observed. Connect infusion luer to
appropriate Luer-Lock line as required. Unused
infusion port may be "locked" through injection cap
using standard hospital protocol. A slide clamp is
provided on the tubing to occlude flow through the
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 Icy ® Heat Exchange
Catheter by connecting the male luer of the Start-Up
Kit to the female inflow luer of the Icy
® Catheter and
the female luer of the Start-Up Kit to the male outflow
luer of the Icy
® 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 Icy ® Heat Exchange
Catheter by connecting the male luer of the Start-
Up Kit to the female inflow luer of the Icy
®
Catheter and the female luer of the Start-Up Kit to
the male outflow luer of the Icy
® 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