ZOLL IVTM Catheter Quattro - Manual (Page 3)

Quattro
®
Catheter
Instructions for Use
Model IC4593/8700-0660-01
3 of 11
106083-001 Rev 2
To check the integrity of the catheter:
1.
Stop operation of the CoolGard 3000 ® /Thermogard
XP ® System.
2.
Disconnect the Start-Up Kit from the catheter and
properly cap both the catheter and Start-Up Kit using an
aseptic technique.
3.
Fill a sterile 10 ml syringe with sterile saline.
4.
Connected to the INFLOW lumen of the catheter and
disconnect the outflow cap. Infuse the 10 ml of saline –
it should flow out the outflow lumen.
5.
Now cap the OUTFLOW lumen and pull 5 cc of
vacuum and sustain this for at least 10 seconds.
Approximately 4 ml of saline, but not blood, should
enter the syringe and you should be able to maintain the
vacuum.
6.
Ease the vacuum and recap the INFLOW lumen.
To check the integrity of the tubing set:
1.
Look for obvious leakage.
2.
Remove the tubing from the pump raceway and inspect
for damage (return it to position if not damaged).
3.
Check along the tubing from the pump to the patient for
sources of fluid loss.
•
Look for damage to the tubing and/or the presence
of air within the tubing.
•
Inspect, and tighten as necessary, each Luer fitting
(do not use instruments to tighten Luer fittings).
4. Similarly, check the tubing that returns to the pump
from the patient. Examine the saline bag to ensure that
it has not been accidentally compromised (for example,
the spike may have damaged the bag wall).
5.
Trace the tubing from the saline bag back to the pump.
More warnings and precautions are located in following
instructions.
Materials Required:
Quantity Description
1 Quattro ® Kit for percutaneous introduction
1 Bag of Normal Saline
1 Start-Up Kit
1 CoolGard 3000 ® /Thermogard XP ® System
Catheter Preparation and Insertion:
Use sterile technique.
1. Caution: Use femoral vein approach only.
2. Place patient in a supine position.
3. Prep and drape puncture site as required.
4. Caution: Always prime catheter before it is inserted
into patient.
5. Carefully remove catheter from package, leaving on
catheter membrane cover.
Catheter Preparation Procedure:
1. Remove caps from the inflow and outflow luer hubs.
With the catheter cover in place, fill syringe (5cc or
larger) with sterile saline and attach syringe to female
inflow luer hub.
2. Warning: Never inject positive pressure into the
inflow hub with the outflow luer cap in place.
3. Gently inject saline through catheter until it begins to
exit from outflow luer.
4. Using 5 cc or larger syringe, flush the distal infusion
lumen with sterile saline. Leave the distal luer
uncapped for guidewire passage.
5. Remove catheter membrane cover . If there is
resistance in removing the membrane cover from the
catheter, flush the membrane cover with sterile saline.
Inspect catheter to assure that air has been purged from
the heat exchange membrane. Inspect the catheter for
leaks.
6. Warning: Do not cut the catheter to alter length.
Catheter Insertion:
1. Obtain femoral venous access using standard
percutaneous techniques. Access should be maintained
with a .032" guidewire. See special instructions for
Guidewires.
2. Warning: Do not attempt to re-insert a partially or
completely withdrawn OTN (over the needle)
introducer needle from its catheter.
3. Caution: Do not use a guidewire larger than .032"
with the Quattro
® Catheter.
4. Holding spring guidewire in place, remove introducer
catheter. Precaution: Maintain a firm grip on the
guidewire at all times.
5. Enlarge the cutaneous puncture site with cutting edge of
scalpel positioned away from the guidewire. Warning:
Do not cut guidewire.
Use vessel dilator to enlarge site
as required. Do not leave vessel dilator in place as an
indwelling catheter to minimize risk of possible vessel
wall perforation
6. Thread tip of Quattro ® over guidewire. Maintain a
sufficiently firm grip on the guidewire during catheter
insertion. Grasping near skin, advance catheter into
vein with a slight twisting motion.
7. Using centimeter marks on the catheter as positioning
reference points, advance catheter to final indwelling
position.
8. Hold catheter at desired depth and remove guidewire.
If resistance is encountered when attempting to remove
the guidewire after catheter placement, the guidewire
may be kinked about the tip of the catheter. If
resistance is encountered, withdraw the catheter relative
to the guidewire about 2-3 cm and attempt to remove
the guidewire. If resistance is again encountered
remove the guidewire and catheter simultaneously.
9. Caution: Do not apply undue force to the
guidewire.
10. Verify that the guidewire is intact upon removal.
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