Medrad Stellant D Operating Manuallines

Injector

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LSUHSC Shreveport
Radiology Department
Proc 13.17
Operating Guidelines for the Medrad Stellant D Injector
Purpose: In order to minimize extravasations and maintain imaging quality the
following guidelines and instructions shall be used.

Guidelines:

1. Use a 20 gauge or larger IV catheter over needle (a 22 gauge may be used
with slower flow rates).
2. The preferred location for venipuncture is the medially located antecubital
vein.
3. Have at least ½ inch of the catheter positioned in a good vein with rapid
backflow.
4. Use a 60-96 inch coiled low pressure tube securely attached to the
catheter. The coiled tubing reduces motion effect during table
incrementation.
5. Instruct the patient to communicate immediately any pain or change in
feeling during the injection.
6. If possible, instruct the patient to put his or her arm vertically above the
shoulder with the palm of the hand on the ace of the gantry during
injection. This allows for uninterrupted passage of injected contrast
through the axillary and subclavian veins at the thoracic outlet.
7. A small volume test injection of contrast or saline may be utilized to
confirm venous assess. A trained professional should remain by the
patient during the initial stages of the injection palpating the venous access
site to ensure proper placement of the I.V. catheter. If focal pain, swelling
or signs of extravasation are noted, the injection should be stopped
immediately.
8. Central lines and hep-locks should only be used in accordance with
hospital policy guidelines.
9. Adhere to all instructions, warnings, and cautions listed for the specific
products being used.

Injector Operation

DISPLAY CONTROL PANEL

1. INJECTION PHASES: First phase can be Test Inject, Contrast, or
Saline. Test Inject parameters are programmable in the SETUP
SCREEN. Six phases are available for programming. If more phases are
required, press the triangle below the first phase, and Select Contrast A,
Flush B, Hold, or Pause.

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Summary of Contents for Medrad Stellant D

  • Page 1 LSUHSC Shreveport Radiology Department Proc 13.17 Operating Guidelines for the Medrad Stellant D Injector Purpose: In order to minimize extravasations and maintain imaging quality the following guidelines and instructions shall be used. Guidelines: 1. Use a 20 gauge or larger IV catheter over needle (a 22 gauge may be used with slower flow rates).
  • Page 2 2. Syringes are sterile and for single use only. Patient injury can result from leaks or ruptures during an injection. Use only MEDRAD disposable products, or use catheters and connectors with pressure ratings that are compatible with this system. Inspect syringe packaging for expiration date and package integrity.
  • Page 3 LSUHSC Shreveport Radiology Department Proc 13.17 10. FluitDots: View looking through the syringe jacket at a light source. Empty syringe – dots appear as narrow elipses Full syringe – dots appear larger and almost round. 11. Air embolism can cause death or serious injury to the patient. Patient injury could result from high flow-rate venous injections.
  • Page 4 Immediately remove power and disconnect the patient from the system. b. If a fault message cannot be corrected, and/or the system is not Operating properly, DO NOT USE the system. Call MEDRAD Service. c. Routine inspections and maintenance will ensure continued performance and reduce equipment malfunction.
  • Page 5 LSUHSC Shreveport Radiology Department Proc 13.17 STELLANT PRESSURE MONITOR HELFUL HINTS – 203473 Rev. A. CONDITION# DESCRIPTION POSSIBLE CAUSES POSSIBLE ACTIONS Condition #1 The graph is the typical The pressure required to push Check to insure the syringe shape, but the pressure the contrast media through heater is functioning is higher than normal.
  • Page 6 Note: Medrad makes no claims about the information on the Pressure Monitor Graph other than it is a graphic representation of the force required to move the syringe plunger, which closely approximates the pressure developed in the syringe.
  • Page 7 LSUHSC Shreveport Radiology Department Proc 13.17 Condiiton #5 The injection is If the injector is still armed If the injector is still proceeding and injecting at a constant injecting (arm light solid perfectly normal, flow rate, but the Pressure and manual knob on the but during the Graph drops sharply to back of the head turning),...
  • Page 8 50 seconds. NOTE: Medrad makes no claims about the Pressure Monitor Graph other than it is a graphic representation of the force required to move the syringe plunger, which closely approximates the pressure developed in the syringe.

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