ZOLL IVTM Catheter Cool Line - Manual (Page 4)

Cool Line
®
Catheter
Instructions for Use
CL-2295A/8700-0654-01 (Also referred to as CL-2295)
4 of 11 106084-001 Rev.2
10. Verify that the guidewire is intact upon removal.
11. Check lumen placement by attaching a syringe to the
distal and proximal infusion luer hubs and aspirate until
a free flow of venous blood is observed. Connect
infusion luers to appropriate Luer-Lock line(s) as
required. Unused infusion port(s) may be "locked"
through injection cap(s) using standard hospital
protocol. Slide clamps are provided on the tubing to
occlude flow through the infusion lumens during line
and injection cap changes. Precaution: To minimize
risk of damage to the tubing from excessive pressure,
each clamp must be opened prior to infusing through
that lumen.
12. Caution: Do not clamp or occlude inflow or outflow
lines. This can cause line blockage and possible
failure.
13. Secure and dress insertion site and catheter
temporarily.
14 If subclavian or jugular access is used, verify catheter
tip position by chest x-ray immediately after
placement. X-ray exam must show the catheter located
in the right side of the mediastinum in the SVC with
the distal end of the catheter parallel to the vena cava
wall. The catheter distal tip must be positioned at a
level above either the azygos vein or the carina of the
trachea, whichever is better visualized. If the catheter
tip is malpositioned, reposition and reverify.
15. If femoral access is used, X-ray examination must
show the catheter located in the IVC with the distal end
of the catheter parallel to the vena cava wall. If the
catheter tip is malpositioned, reposition and reverify.
16. Proximal radiopaque marker indicates proximal end of
balloons to ensure that balloons reside completely in
vessel. If catheter is malpositioned, reposition and
reverify.
17. Secure catheter to patient. Use juncture hub side wings
as primary suture site to minimize the risk of catheter
migration.
18. The ZOLL suture tab and clip can also be used as an
additional attachment point. Assure that catheter body
is secure and does not slide.
19. Caution: Use only the ZOLL suture tab and clip
provided in the kit. Catheter damage may result if
other tabs or clips are used.
20. Caution: Do not suture directly to the outside
diameter of the catheter to minimize the risk of
cutting or damaging the catheter or impeding
catheter flow.
21. Dress puncture site per hospital protocol. Maintain the
insertion site with regular meticulous redressing using
aseptic technique.
22. Record on the patient's chart the indwelling catheter
length using the centimeter marks on the catheter shaft
as reference. Frequent visual reassessment should be
made to ensure that the catheter has not moved.
23. Attach a primed Start-Up Kit to Cool Line ® Heat
Exchange Catheter by connecting the male luer of the
Start-Up Kit to the female inflow luer of the Cool
Line
® Catheter (labeled “inflow”) and the female luer
of the Start-Up Kit to the male outflow luer of the
Cool Line
® Catheter (labeled “outflow”). White
"ZOLL" tags are fitted loosely to the INFLOW and
OUTFLOW extension tubes to help identify them.
Assure that a sufficient amount of sterile saline is
present at the ends of the hubs to make an air free
connection. Refer to CoolGard
3000
® /Thermogard XP ® manual for details on
CoolGard 3000 ® /Thermogard XP ® operation.
24. Warning: Failure to connect the Start-Up Kit
correctly to the catheter could result in catheter
failure. Do not attach the Start-Up Kit to the
dark blue, white or brown luers.
25. Caution: Do not place any stopcocks in line that
may be inadvertently shut off. This can cause
line blockage and possible failure.
26. Pump saline through Start-Up Kit and catheter to
assure that all connections are secure and that there
is no leaking. Allow any remaining air in system to
be purged out.
Disconnecting Catheter from CoolGard
3000
® /Thermogard XP ® System:
1. Stop circulation of saline through catheter.
2. Disconnect Start-Up Kit from catheter.
3. To maintain sterile connections, immediately cap off
luer connectors of both catheter and Start-Up Kit
using sterile luer caps or connect inflow and outflow
luers together.
Reconnecting Catheter to CoolGard
3000
® /Thermogard XP ® System:
1. Remove luer caps from luer connectors of catheter
and Start-Up Kit and discard or disconnect inflow
and outflow luers from each other.
2. Attach Start-Up Kit to Cool Line ® Heat Exchange
Catheter by connecting the male luer of the Start-Up
Kit to the female inflow luer of the Cool Line
®
Catheter and the female luer of the Start-Up Kit to
the male outflow luer of the Cool Line
® Catheter.
Assure that a sufficient amount of sterile saline is
present at the ends of the hubs make an air free
connection.
3. Warning: Failure to connect the Start-Up Kit
correctly to the catheter could result in catheter
failure.
4. Warning: DO NOT confuse the INFLOW and
OUTFLOW Luer fittings for standard central line
infusion ports. They are for connection to the
CoolGard 3000
® /Thermogard XP ® System ONLY.
5. Caution: Do not place any extra stopcocks in line
that may be inadvertently shut off. This can
cause line blockage and possible failure.
Catheter Removal:
1. Stop all pumping of saline through the catheter.
2. Disconnect Start-Up Kit from catheter. Uncap or
leave uncapped the inflow and outflow lumens of
the cooling circuit (cooling circuit ONLY). This
will allow residual saline within the circuit to be
expressed. As the catheter is withdrawn, the
balloons are compressed. Saline within the balloons
must be free to pass out of the balloon or the balloon
will not deflate making the catheter difficult to
remove.
3. Place patient in supine position. Remove dressing.
Remove sutures from suture site.