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Warning: Complications may occur if all the air has not
been removed prior to insertion into the body.
2. Place the Fountain Infusion Catheter into position
under fluoroscopic guidance following standard hospital
protocol. The Fountain Infusion Catheter will pass through
a standard 5F
introducer sheath and over a 0.035" (0.89
mm) guide wire. The two radiopaque marker bands on the
Fountain Infusion Catheter indicate the infusion segment
where side hole infusion occurs. (See Figure 1)
Figure 1
3. Remove the 0.035" placing guide wire and position
the Occluding Wire so that the distal tip of the catheter is
occluded by the guide wire. (See Figure 2)
Figure 2
Warning: A guide wire should never be advanced or
removed if resistance is present. If the guide wire is ad-
vanced against resistance, it could potentially create vessel
trauma and/or wire damage. The cause of the resistance
should be determined under fluoroscopy. Take any neces-
sary actions to correct the problem.
4. The 20ml reservoir syringe is filled with heparinized
saline and debubbled using standard hospital protocol.
This may include tapping the syringe with a hemostat or
similar device.
Attach reservoir syringe to Squirt. (See Figure 3) Make
sure that the syringe connection is air-tight. [The syringe
rotator should be tightened by hand if using a syringe with
a rotating adapter.]
SHERLOCK CONNECTOR
TRIGGER
BAR
Figure 3
CHECK VALVE
KNURLED
ADJUSTING
KNOB
RESERVOIR SYRINGE
Holding the Squirt in an upright position activate the
trigger bar repeatedly until all air bubbles are out of the
check valve area of the Squirt. (See Figure 3) This may
include tapping the Squirt fluid path with a hemostat or
similar device. [Note: Clinician should attach a small piece
of tubing if concerned about fluid dripping out of the end
of the Squirt during the priming process.]
Turn Squirt such that the Sherlock connector is pointing up.
Activate the trigger bar until all air bubbles are out of fluid
path. (See Figure 4) This may include tapping with a hemo-
stat or similar device. This step may have to be repeated
several times to fully debubble the system.
Figure 4
5. Attach the Squirt to the hemostasis valve as shown in
Figure 5. Prime the hemostasis valve by placing a gloved
thumb over the rotating adapter located on the hemostasis
valve while activating the Squirt. This will force saline out of
the back end cap of the hemostasis valve. Close the back
end cap by twisting it in a clockwise direction. (See Figure
6) Continue to activate the Squirt to debubble the distal
segment of the hemostasis valve.
Figure 5
Figure 6
6. While holding the hemostasis valve in a level position,
loosen the back end cap on the hemostasis valve and slide
it over the proximal end of the matched Occluding Wire.
Do not connect the rotating adapter assembly to the
Fountain Infusion Catheter at this time. If it is connected at
this time, an air embolism could occur potentially causing
injury or death to the patient.
SQUEEZE
SQUEEZE
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