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Summary of Contents for Limbs & Things 60166
- Page 1 User Guide Basic Catheterisation Trainer Product No: 60166 Limbs & Things Ltd. For more skills training products visit Sussex Street, St Philips limbsandthings.com Bristol, BS2 0RA, UK sales@limbsandthings.com +44 (0) 117 311 0500...
- Page 2 Basic Catheterisation Trainer 60166 This cost effective Value Set contains a basic version of each of the Male and Female Catheterisation Trainers. These basic versions do not contain suprapubic bungs (60168). The Catheterisation Trainers allows the trainee to learn urinary catheterisation techniques. The feel of the catheter passing along the urethra into the bladder corresponds closely to real life.
- Page 3 Components Female Catheterisation Unit Male Catheterisation Unit Catheterisation Foreskin (x3) Product No: 60156 Product No: 60152 Product No: 60154 Standard Bung Antifungal Agent Aseptic Catheterisation Product No: 60161 Milton Sterilising Fluid (500ml) Sleeves 50185 60160 Product No: Product No: Note Do not leave catheters inserted in the Trainer Male Catheterisation...
- Page 4 Setting up the Trainer Place the drip tray onto the work Place the pelvic base onto the drip tray surface with the genitalia facing forwards Screw the two parts of the metal fluid Insert one end of the stand into the hole bag stand together at the back of the drip tray.
- Page 5 Tighten the red turnscrew until the Hang the fluid bag on the top of stand stand is securely in position Connect the fluid bag to the bladder Open the cap on the top of the fluid feed tube (with the white connector, at bag and place the air vent tube (tube the back of the catheterisation unit) without connector, at the back of the...
- Page 6 Setting up the Trainer Fill the 30ml bottle cap with Milton (x2) Dispense 60ml into 1 litre of water in the plastic jug Any air in the bladder will vent out of Fill the bag with water. The bladder will the tube into the bag.
- Page 7 Preparing for catheterisation The water-based lubricant is used to simulate sterile anaesthetic gel (Instillagel®) which is used prior to catheterisation Squeeze some of the lubricant into the Inject 1-2 ml of lubricant into the urethral syringe orifice The Trainer is now ready for catheter insertion...
- Page 8 Flushing lubricant out At the end of each training session the urethra should be flushed through with water, as lubricant can dry inside it and impair the catheterisation process. This procedure can also be applied to a blocked urethra during use Fill the syringe with water Insert the syringe into the urethral opening and inject...
- Page 9 Using the Aseptic Catheterisation Sleeves The Aseptic Catheterisation Sleeves are intended to simulate the sterile packaging urinary catheters are supplied in. The sleeves are reusable, providing a cost effective solution for repeatedly practising the aseptic technique required for urethral catheterisation Open the inner sleeve by pulling apart Each Aseptic Catheterisation Sleeve consists of 2 parts: large (representing nonsterile outer...
- Page 10 Using the Aseptic Catheterisation Sleeves Hold the sleeve upright in a semi-open fist Place the sleeve on the work surface and feed the catheter down into it and secure the Velcro tabs With the outer sleeve flat on the work Seal the Velcro tabs.
- Page 11 Bung removal and fitting Lift the tab. Any kinks on the inside rim of the Carefully remove the bung, whilst opening should be straightened out holding down the surrounding perineal skin, with thumb and index finger To replace the bung, carefully position Slowly ‘massage’...
- Page 12 Emptying the bladder Disconnect the bladder feed tube Leave the air vent tube in place in the fluid Should the connector fail to attach to the fluid bag the connector mechanism may need resetting. See ‘Troubleshooting’ on page 14 Remove the Suprapubic Bung Using a large syringe, remove as much water as possible.
- Page 13 Changing the Catheterisation Units To remove • Grasp the Catheterisation Unit and gently pull it out from the pelvic base • The top of the base may need to be lifted slightly to allow for clearance To insert • Gently push the Catheterisation Unit into the base. The Unit may need to be pushed up slightly to clear the base plate...
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Page 14: Troubleshooting
Troubleshooting Connector in the locked position, preventing items from being attached to it Unlock the connector by depressing the metal clip The connector is reset and ready to use when the pin pops out... - Page 15 Attaching the foreskin Apply the supplied waterbased lubricant Ensure the correct orientation of the to the glans of the penis. foreskin Ensure the entire glans is coated Carefully roll back half the proximal end Push the foreskin back so that the opening of the foreskin, and feed it over the (distal end) is close to the tip of the glans.
- Page 16 Removing the sphincter Place the Catheterisation Unit on the Lift up the Skin at the back and release work surface and remove the Bung it from the base Peel the Skin away from the top of the Hold the base down. Grip the Skin base and allow it to hang down over the securely around the connector and front of the Unit...
- Page 17 NOTE: When separating the Skin Push in the lugs on either side ... from the bladder, hold the Skin by the thick reinforced area around the connector ... and on the back of the bladder to Push the fluid tube out of the slot at the separate it from the base back of the base...
- Page 18 Removing the sphincter Push the valve housing up and behind Push the bladder up and out of the base the pubic bone Make sure the bladder is completely Using both thumbs, push the O ring out empty, then place it upside down on the of the groove ...
- Page 19 ... and off the end of the urethral Turn the bladder back over and push connector the urethral connector up into the bladder The sphincter should start coming out of Continue to push until the sphincter is the connector free...
- Page 20 Replacing the sphincter When inserting the new sphincter ensure that the end with the red valve faces outwards. The male and female sphincters are easy to differentiate: the female sphincter (left picture) is shorter in length than the male (right picture) Lubricate the inside of the urethral Insert the sphincter into the connector connector...
- Page 21 Push the sphincter in until the red valve Lubricate the outer part of the is visible at the end connector Slide the O ring over the end ..and onto the innermost groove...
- Page 22 Replacing the sphincter Feed the fluid tubes through the hole at ... and then gently push the bladder the back of the base... back into the base Ensure that the bottom of the bladder Gently push the lugs into the holes fits into the fins on the bottom of the in the side of the base to secure the base...
- Page 23 Lubricate the inside of the urethral Use 2 or 3 fingers to support the back connector on the Skin of the sphincter Line the bladder up with the Skin and Attach the bottom of the push them together. A ‘pop’ will be felt Catheterisation Skin to the base when the parts are correctly fitted...
- Page 24 Replacing the sphincter Secure the Skin around the lip at the Drape the Skin over the top of the base front of the base and secure it with the lug at the back Secure the Skin with the lugs at the Lubricate the bung and push it back sides into position.
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Page 25: Optional Extras
Optional Extras NEW IMPROVED: Suprapubic Catheterisation Management Bung 60168 Set of 2 bungs, to be used with Limbs & Things Catheterisation Trainer Range This Pre-Ported Suprapubic Bung allows for the management of catheters after surgical procedure has taken place Remove the bung Insert the Suprapubic Catheterisation Management Bung... - Page 26 Suprapubic Catheterisation Management Bung Apply a small amount of lubricant into Apply a small amount of lubricant to the hole at the top of the Suprapubic the catheter Catheterisation Management Bung Insert the lubricated catheter into the Feed the catheter through until water hole at the top of the Suprapubic begins to drain from the end of the Catheterisation Management Bung...
- Page 27 Notes...
- Page 28 You may also be interested in... Using the optional Self Catheterisation Stand 60167 Use with Catheterisation Trainers: 60150, 60151, 60155, 60166 teaching intermittent self catheterisation To find out more visit: limbsandthings.com Part No: 065-965 Issue 2, July 2016 © 2016 Limbs & Things...
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