baxter DUPLOSPRAY Quick Reference Manual

DUPLOSPRAY Quick Reference Guide (laparoscopic procedures)
Instructions for Circulating Nurse | DUPLOSPRAY MIS Regulator
1 2
Position DUPLOSPRAY System so the foot Attach gas supply hose, located at back of
pedal is placed next to the surgeon's foot regulator, to source of medical grade CO
at time of application.
Instructions for Scrub Nurse | DUPLOSPRAY MIS Applicator
1 2
Thread sterile replaceable tip onto Firmly attach the applicator to the
applicator using tip alignment tool. nozzles of the double syringe.
Instructions for Surgeon
1 2
Confirm actual flow of max 2 liters/min Depress foot pedal to start gas flow prior
with OR personnel. to applying TISSEEL Fibrin Sealant. Check
gas flow gauge on regulator before
inserting applicator. If flow level ball does
not move when foot pedal is depressed,
the applicator tip is occluded and should
be replaced.
3 4
Attach spray set to regulator. Connect the
. blue vent line filter to the blue female luer
2
and the clear gas line filter to the male
luer on the regulator.
3 4
Fasten the pull strap to the double
syringe holder to assure the spray
applicator is tightly secured.
3
While activating foot pedal dispense
TISSEEL Fibrin Sealant through applicator
tip by depressing double syringe plungers
using very slow, steady pressure. To stop
spray delivery release pressure on plungers
while maintaining gas flow by holding
down foot pedal for an additional 3-5
seconds to clear applicator tip.
While depressing foot pedal, adjust gas
flow rate to 1.0-2.0 liters per minute.
Check gas flow by noting height of ball in
flow gauge while stepping on foot pedal.
5
Attach gas supply line (clear luer connector) Pass assembled double syringe and spray
to sterile applicator. Turn white locking applicator to surgeon for spray application.
collar to secure connection.
The use of TISSEEL Fibrin Sealant is restricted to experienced surgeons who have been trained in the use of TISSEEL.
In order to ensure optimal safe use of TISSEEL by spray application, apply a minimum spray distance of 2 cm and a maximum spray
pressure of 1.5 bar (22 psi/maximum gas flow rate 2.0 liters per minute) to minimize the potential risk of air or gas embolism, tissue
rupture, or air or gas entrapment with compression.
TIPS
• The patient vent line attached to the trocar cannula vent valve will only vent gas out when foot pedal is depressed.
After connection to trocar cannula, ensure vent valve is fully open on trocar cannula prior to spray application.
• If tip becomes occluded during use, remove plugged tip by unscrewing it counterclockwise. Using a sterile cloth,
wipe any clotted material off exposed tube ends. Screw on new tip and tighten with finger pressure.
• The twin-tube assembly can be easily separated as necessary to allow freedom of movement.
For full prescribing information about Tisseel, contact your local sales representative
6
Attach patient vent line (red luer connector)
to available female luer on trocar vent valve.
Ensure vent valve is fully open.