Indications For Use; Pre-Use Checks - Intersurgical i-view Instructions For Use Manual

Description
• The Intersurgical i-view
Warnings
• For use by qualified medical personnel only. Operators must familiarise themselves with these instructions for
use, and the device.
• No modification of this device is permitted.
• The device contains no user serviceable parts inside.
• The batteries within the device should not be removed prior to its disposal.
• No attempt should be made to reprocess, sterilise or re-use the device.
• Do not use force to insert the device.
• Particular care should be taken with patients who have fragile and vulnerable dental work, in accordance with
recognised airway management practices and techniques.
• In circumstances where fogging is regarded as a possiblity, such as when the patient is exposed to high flow
humidified oxygen before or during use of the i-view, the device should be turned on >30 seconds prior to use.
• To reduce the potential for trauma, the i-view should always be inserted into the patient's mouth under direct
vision.
• To reduce the potential for trauma, the endotracheal tube should always be initially introduced into the patient's
mouth under direct vision. The endotracheal tube may then be advanced through the vocal cords by direct or
indirect vision.
• During prolonged use, the clear lens in front of the light source can reach temperatures up to a maximum of
50°C and should not be held in direct contact with patient tissue for longer than 1 minute.
• Ensure that a backup plan is in place in case of difficulty or emergency while performing the procedure.
• Do not use the device in strong magnetic fields such as MRI environments.

Indications For Use

• i-view is designed to provide direct and indirect visualisation of the larynx. It helps to facilitate oral tracheal
intubation in adults by personnel who are suitably trained and experienced in the use of airway management
techniques and devices, including intubation.
Contraindications
• Surgical airway.
• Fluid or solid material in the airway that cannot be cleared with suction.
• Trismus, limited mouth opening, pharyngo-perilaryngeal abscess, trauma or mass.
• Operator inexperience with the device.

Pre-use checks

• Inspect the packaging and ensure it is not damaged prior to opening.
• Inspect the device carefully and discard if the device looks abnormal or deformed.
• Turn on the device by depressing the on/off switch (fig 1) and check there is a visible light at the distal end
of the blade and that the Intersurgical logo appears on the screen for a few seconds. Turn off the device by
depressing the on/off button. The device is now fully operational. Discard the device if it cannot be successfully
switched on and off.
Using the i-view
• Turn on the device by pressing the on/off button (fig 1).
• The distal tip of the blade of the device should be inserted into the patient's mouth under direct vision (fig 2)
and the blade gently advanced down the tongue until the epiglottis has been identified (fig 3). The tip of the
blade should then be advanced into the vallecula (fig 4).
• With minimal force, indirectly lift the epiglottis with the i-view until the glottis comes into view. This can be
achieved using a direct or indirect view (fig 5). If deemed necessary, bimanual laryngoscopy and/or head
elevation can be used to improve the view.
• Once the glottis has been identified, an appropriately sized tracheal tube can be passed through the vocal
cords to the required depth (fig 6) and the i-view gently removed (fig 7).
• Confirmation of correct placement of the tracheal tube should be assessed by the use of wave form capnography
and other methods in accordance with applicable guidelines.
• i-view should then be switched off by depressing the on/off switch (fig 8).
4
is a single use, fully disposable Video Laryngoscope.
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