ZOLL Quattro IC-4593AE/8700-0660-40 Mode D'emploi page 4

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 Quattro Heat Exchange
Catheter by connecting the male luer of the
Start-Up Kit to the female inflow luer of the
Quattro Catheter and the female luer of the Start-
Up Kit to the male outflow luer of the Quattro
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 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withdrawn, the balloons are compressed.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.
4. Slowly remove catheter from patient. As catheter
exits the site apply pressure with a dressing
impermeable to air, e.g. vaseline gauze.
5. Warning: Do not move catheter if resistance
is felt. Check to ensure that the inflow and
outflow lumens of the cooling circuit are NOT
capped. If they are capped, uncap them and
try removing the catheter again. If resistance
is still encountered, an x-ray should be
performed to identify the reason for the
resistance.
Special Instructions for Guidewires
Note: This information applies only to the use of
guidewires in the Seldinger technique of catheter
placement in the vasculature.
Note: This procedure should be performed only after
a thorough review of technical references, which
emphasize precautions, contraindications, and risks
in much greater detail.
This spring guidewire was designed for single
patient – one time use only.
It is recommended that guidewires be discarded after
one use. No cleaning agents or techniques will
completely remove residual material from the
guidewire after use.
Federal law (USA) restricts this device to sale and use
by or on the order of a physician.
INSPECTION
Guidewire should be routinely inspected prior to use
and discarded should any deformities be present in the
guidewire.
106142-001
IC-4593AE/8700-0660-40 & IC-4593CO/8700-0624-40
Guidewire placement should be routinely monitored by
x-ray or fluoroscopic procedure.
CAUTIONS
Because of the delicate and fragile nature of
guidewires, extra care in handling must be taken.
Avoid bending or kinking.
During storage or procedures avoid coiling guidewire
in less than 8-inch diameters as smaller diameters place
unnecessary stress on the guidewire. The provided
dispenser is the best means of storage and handling
of the guidewire.
Should resistance occur during insertion, DO NOT
advance guidewire.
Avoid withdrawing guidewire through metal needles;
guidewire may shear.
Movable core of guidewire should not be advanced
while wire is in patient as this could cause damage
to the wire and possible injury to the vessel.
Sufficient guidewire length must remain exposed
to maintain firm grip on guidewire at all times.
DISPENSER
®
Every guidewire is provided in a unique dispenser
package. Remove the guidewire anti-migration clip
before dispensing the guidewire. Remove the
guidewire protective cap immediately prior to
guidewire use. Prepare the guidewire prior to insertion.
It is recommended that the dispenser be filled with
heparinized solutions. (e.g. saline or dextrose) to bathe
the guidewire during insertion.
Preformed "J" guidewire will resume shape when
removed from product dispenser.
1 = Guidewire protector cap
2 = Guidewire anti-migration clip
TECHNIQUE
1. Puncture vessel
2. Pass the guidewire through the needle and
advance 5-10cm of the guidewire into the
punctured vessel. It may be necessary to
manipulate the guidewire in order to
successfully advance it. Usually a gentle,
rotating motion is sufficient to traverse an
obstruction. Avoid rough or overly vigorous
manipulation of the guidewire to prevent
damage to the guidewire or the vessel.
Insert the "J" guidewire into the needle hub and
3.
gently advance it.
4. Remove the needle from the guidewire.
5. Dilate tissue and vessel with the dilator using a
slight rotary motion.
6. Remove dilator. (vessel dilator intended for
vascular dilation only.)
7. Introduce catheter by sliding it over the guidewire.
8. Remove guidewire.
MRI INFORMATION
Non-clinical testing has demonstrated that the Quattro,
®
Icy and Cool Line
with the catheter inserted can be scanned safely under
the following conditions:
®
Catheters are MR Safe. Patients
Revision 7
ZOLL

Catheter must be disconnected from the
®
Thermogard XP Console

Static magnetic field strength of 1.5 T or
3 T only

Maximum spatial gradient field of
720 Gauss/cm (7.2 T/m)

Averaged whole body SAR of 2 W/kg for
15 minutes of scanning (per sequence)
®
The ZOLL Thermogard XP Console is MR Unsafe. Do
not use in the MR Suite.
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