Sedanamedical AnaConDa Instructions For Use Manual page 5

• Place the filled AnaConDa Syringe in the syringe pump.
• Open the red syringe cap and connect the AnaConDa anaesthetic agent line to the AnaConDa
syringe.
• Program the syringe pump to prime the anaesthetic agent line with a bolus of 1.2 ml. Never
prime manually.
• Start the syringe pump at 2 ml/hour and titrate the clinical dosage according to patient
requirements.
5.2. Dose titration
• Titrate the dose according to clinical evaluation. The use of and dose of concomitant medications
should be reviewed when starting treatment with AnaConDa.
• Increase the syringe pump rate in steps of 0.5 to 1 ml/hour until the desired FET% has been
reached.
• Monitor the patient clinical status and hemodynamics closely to determine whether bolusing or
dose changes are needed.
• If necessary, program the syringe pump to give small bolus doses of 0.2 to 0.3 ml. Never use the
purge function or manual bolus. Caution: the age and size as well as the condition of the patient
need to be taken into account.
5.3. Ending therapy
There are two options to end the therapy.
For rapid wake-up, stop the syringe pump. The FET% directly starts to drop – the patient will
normally wake up within minutes unless other drugs are given.
For slow wake-up, reduce the syringe pump rate stepwise according to clinical needs. The FET%
will be reduced according to the reduced pump rate.
6. REPLACING AN EMPTY ANACONDA SYRINGE AND ANACONDA DEVICE
In order to reduce the risk of inadvertent awakening, the AnaConDa and AnaConDa Syringe should
be changed without delay. Drug concentration will drop as soon as the syringe pump is stopped.
6.1. Changing the AnaConDa Syringe
► Change the AnaConDa Syringe after one use, as soon as it empties.
• Prepare a new AnaConDa Syringe according to the steps above, part 4.3.
• Stop the syringe pump.
• Disconnect the anesthetic agent line from the used AnaConDa Syringe and close the AnaConDa
Syringe with the red cap.
• Remove the used AnaConDa Syringe from the syringe pump.
• Place the filled AnaConDa Syringe in the syringe pump and unscrew the red cap.
• Connect the AnaConDa anesthetic agent line to the new AnaConDa Syringe.
• Start the syringe pump with the same rate as before.
• Dispose of the used AnaConDa Syringe according to hospital protocols.
6.2. Changing the AnaConDa
► Change the AnaConDa after 24 hours of use, or earlier in the event of abnormal secretions
or blockages. The AnaConDa is for single patient use only.
• Prepare a new AnaConDa.
• Stop the syringe pump.
• Disconnect the anesthetic agent line from the AnaConDa Syringe and close the AnaConDa
Syringe with the red cap.
• Disconnect the used AnaConDa from the ventilator inspiratory port side first.
• Disconnect the used AnaConDa from the flexible extension tube side next.
• Insert the new AnaConDa by connecting at the inspiratory port first and then to the flexible
extension tube.
• Connect the anesthetic agent line to the AnaConDa Syringe in the syringe pump.
• Program the syringe pump to prime the anesthetic agent line with a bolus of 1.2 ml. Never prime
manually.
• Start the syringe pump with the same rate as before.
7. DISPOSAL OF PRODUCTS
Syringes with remaining liquid anesthetic must be disposed of according to local routines for
special waste. All other products can be disposed of in the standard hospital waste.
Recommended replacement intervals:
Item Changing interval
Single patient use
AnaConDa/AnaConDa-S
Changed every 24 hour or earlier if needed
AnaConDa syringe Single use
Single patient use, with a maximum length use of 7 days
Nafion line
Replaced as needed in accordance to hospital hygiene
Gas sampling line
regulations
Multi patients use
FlurAbsorb Capacity of up to 5 syringes (à 50ml), 24 hours use or when
signs of increased resistance are detected
FlurAbsorb Accessory Kit Single patient use
Single Use Filling Adapter
Isoflurane/Sevoflurane Single use
Standard screw top bottles
Single patient use
Water trap
Max days of use according to the manufacturer's instructions
8. PROCEDURES AFFECTING DRUG DELIVERY
Procedures that may affect drug delivery include:
• Endotracheal suctioning
• Bronchoscopy
• Nebulisation
For further instructions, practice videos and much more, please visit www.sedanamedical.com
AnaConDa (Anaesthetic Conserving Device) –
Inspiratory Limb Setup
For endotracheal suction, there are two possible ways, either with closed suction system or
adapter with bronchoscopy cap. If clinically needed a bolus of inhaled anaesthetic can be given
shortly before suctioning.
During bronchoscopy minor leakage may occur. Open only the smallest opening of the
bronchoscopy adapter in order to minimise leakage. Inhaled anaesthetic delivery is reduced by the
bronchoscope. Additional medications should be considered to facilitate the procedure.
Ambient concentration measurements during these procedures have shown transient elevations
but these elevations are short-lived and below recommended exposure limits, indicating minimal
risks for staff.
During nebulisation, the nebuliser should be placed in the breathing circuit according to the
manufacturer's instructions for use. Use the device according to normal daily procedures.
TECHNICAL SPECIFICATION 100 ML
Anaesthetic Agents Only use room temperature sevoflurane (18°-25°C) and
isoflurane (18°-30°C)
Syringe Only use the AnaConDa syringe
Stability of filled syringes 5 days
Tidal volume working range 350-1200 ml
at Y-piece & ET-tube
30-200 ml on inspiratory
placement
AnaConDa dead space Approx. 100 ml
Resistance to gas flow at 60 l/min 2.5 cm H2O (250 pa)
Moisture loss 5 mg/l (@ 0.75L X 12 bpm)
7 mg/l (@ 1.0L x 10 bpm)
Filter capacity: Bacterial filtration 99.999%
Viral Filtration 99.98%
Weight 50 g
Agent Line Length 2.2 m
Connectors (According to ISO 5356) 15F/22M-15M
Gas Sampling Port Female Luer Lock
In case of a serious incident please contact the competent authority and the legal manufacturer
Sedana Medical Ltd.
Sedana Medical Ltd., Unit 2A The Village Centre,
Two Mile House, Naas, Co. Kildare, W91 PWH5, Ireland
EN
50 ML
200-800 ml
at Y-piece & ET-tube
30-200 ml on inspiratory
placement
Approx. 50 ml
3.0 cm H2O (300 pa)
5 mg/l (@ 0.5L X 15 bpm)
6 mg/l (@ 0.75L x15 bpm)
3 000 144-2009/EN/ Rev. 1 2020-09
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