Cook Medical G05269 - SET, ASPIRATION, AIR, NYLON, C-VAE-581J, EACH

Cook Medical G05269 - SET, ASPIRATION, AIR, NYLON, C-VAE-581J, EACH

Bunegin-Albin Air Aspiration Sets - Polyethylene

Bunegin-Albin Air Aspiration Sets and Trays include a radiopaque, sideported catheter, a double-tipped (straight and curved) wire guide, and an introducer needle. Trays contain additional accessories for use in venous air aspiration procedures.

Components

• Polyethylene, radiopaque and sideported catheter
• Wire guide
• Introducer needle
• 6 Fr dilator
• Stop cock
• Scalpel
• Syringe

Intended Use

Bunegin-Albin Air Aspiration Sets and Trays are intended to retrieve venous air emboli. The product is intended for use by physicians trained and experienced in proper positioning of catheters in the central venous system using percutaneous (Seldinger) technique. Standard techniques for placement of percutaneous catheters should be employed.

Precautions

The catheter endhole should be positioned near the mid-right atrium, with the most proximal sideport located just above the atrial-caval junction. This position allows for maximum removal of venous air emboli.

Instructions for Use

For Antecubital Fossa Insertion

• Advance the introducer needle into the basilic or cephalic vein.
• Slide the Safe-T-J wire guide straightener (positioned on the distal tip of the wire guide) over the J portion of the wire guide.
• Pass the straightened wire guide through the introducer needle and advance it until its dark circular marking is just outside the needle hub.
• Withdraw the introducer needle, leaving the wire guide in place.
• Advance the catheter over the wire guide until it is proximal to the atrialcaval junction.
  NOTE: Ensure that the wire guide always precedes the catheter tip when advancing the catheter and wire guide into the vessel.
• Withdraw the wire guide, leaving the catheter in place.
• Attach a three-way metal stopcock to the catheter.
• Fill the catheter lumen with normal saline.
  NOTE: The saline-filled catheter can be used as an active ECG electrode to assist in localization. However, electrical hazards are associated with intravascular electrocardiography and strict safety precautions should be observed.
• Attach an intravenous infusion line to the stopcock.
• Attach one end of an alligator clip cable to the stopcock and attach the other end of the cable to the right arm electrode of lead 11 of the ECG.
  CAUTION: Ensure that the ECG is properly grounded. To prevent cardiac microshock, maximum current levels must be less than 10 microamps
• Advance the catheter tip to the atrial-caval junction.
  NOTE: When the catheter tip is at the atrial-caval junction, the ECG will demonstrate a W-shaped or notched P-wave.
  CAUTION: During catheter placement, all other electrical equipment should be disconnected from the patient.
• Withdraw the catheter tip 1 cm to obtain proper positioning.
• Remove the stopcock and attach the infusion line to the catheter.
  NOTE: If uncertain about the catheter position, obtain a radiograph of the thorax.
• Reconnect the ECG electrode to the right arm electrode.
  CAUTION: Due to the danger of cardiac shock, under no circumstances should the ECG lead remain attached to the metal stopcock after the catheter has been positioned.

How Supplied

Supplied sterilized by ethylene oxide gas in peel-open packages. Intended for one-time use. Sterile if package is unopened or undamaged. Do not use the product if there is doubt as to whether the product is sterile. Store in a dark, dry, cool place. Avoid extended exposure to light. Upon removal from package, inspect the product to ensure no damage has occurred.

CAUTION: U.S. federal law restricts this device to sale by or on the order of a physician (or properly licensed practitioner).