Smart Flow Control Systems

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July 2007 P48610 Rev.2 SmartInfuser PainPump P49220, P49224N Operation Instructions
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• Smart Flow Control Systems
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System Contents

• Catheter Set (for P49220 only)
• - SmartCatheter
• Peal away introducer
• Catheter Instructions

• Compression Unit
• Compression Unit loaded over empty 500 ml bag
• Pump labels
• Medication labels

Regulating Set(SmartInfuser Set )

• Carry pouch
• Carry Pouch
• Patient Guidelines and Instructions

Syringe
Wound Dressing
Physician Guidelines and Instructions
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Notes

• Intended for patients under the care of
  physician or licensed health care provider.
• The SmartInfuser PainPump is for single patient
  use only. Do not re-sterilize.
• Medications used with this system should be
  administrated in accordance with the
  instructions provided by the drug manufacturer.
• Patients should be advised to contact their
  physician or licensed health care provider if
  any of the system connections become disconnected
  or the catheter exits the surgical site.
• Avoid dropping the pump. In the event of damage
  or leakage, advise patient to contact their
  physician or licensed health care provider.
• In case of emergency, advise patients to close
  the clamp on the administration set in order to
  stop the flow of medication immediately.
• Do not suture catheter.

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Considerations

• SmartInfuser PainPump is not for intravenous,
  intra-arterial, or epidural.
• SmartInfuser PainPump is not intended for
  delivery of blood, blood products or lipids.

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(1) Prepare the Administration Set
Catheter Set
SmartInfuser Set
The SmartCatheter and SmartInfuser Set
comprise the Administration Set.
Remove the SmartInfuser Set and the
SmartCatheter from the sterile packaging.
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(2) Connecting the Administration Set
(a) Connect the SmartCatheter to the Regulating
Set using the luer connectors.
(b) Tear off the bag port cover and insert the
spike.
(c) Verify the spike is positioned all the way in.
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(3) Fill the Pump

• (b)
• Fill the syringe with medication.
• Drain any remaining air, and connect it to the
  set Check Valve.
• While the Check Valve is supported by the table,
  push down the syringe plunger until it is empty.
• Repeat the filling process until the desired fill
  volume is reached.
• Maximum volume 500ml

(a) Position the SmartReg at C (Closed position).
Warning Use aseptic technique to fill the
pump. After use, handle and discard in accordance
with standard medical protocol.
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(4) Prime the System

• (b)
• IMPORTANT Hold BOTH the Compression Unit AND
  the Mutli-Bolus with tubes positioned
  vertically/upward .
• The SmartCatheter is flushed during priming.
• Set the SmartReg at R (Regulating Position) once
  all air bubbles have drained from the set tube
  and the catheter been flushed.

(a) Position the SmartReg at P (Priming
position).
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(5) Set the Regulating Set

1. Set the system flow rate by dialing the Adjusting
   Ring the digit aligned represents the particular
   ml/hr.
2. Lock the selected flow rate by pushing the
   Adjusting Ring toward the regulator. It will
   click when locked in place.

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(6) Set the Multi-Bolus
(a) Set the bolus volume by dialing the Push
Button using the Key the digit represents the
particular ml selected for the bolus.
(b) Lock the selected volume by pushing in the
Safe Lock using the Key.
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(7) Placing the Introducer

• While holding the T-handle, remove the protector
  from the introducer needle.
• Insert the introducer needle through the skin to
  the wound site at a distance of approximately
  1.5 to 2 (see photo a).
• While holding the T-handle, pull out the
  introducer needle (see photo b).

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(8) Placing the Catheter
c
d

• Cut the catheter infusion segment to the desire
  length (see photo c).
• Insert the catheter through the opening of the
  introducers T-handle to the wound site (see
  photo d).

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(9) Placing the Catheter (continue)
e
f

• While holding the edge of the catheter, pull the
  introducers T-handle all the way off the skin
  (see photo e).
• Peel off the introducer by pulling out the
  handles each handle to other direction (see
  photo f).

Warning Care should be taken during catheter
placement to assure that occlusion will not occur
during use and that catheter removal will not be
impeded. Ensure that the catheter tip has not
been placed in a vein or artery!
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(10) Fix the Catheter
Filter
g
h
End of infusion tubing

• Make certain the catheters infusion tubing is
  entirely positioned at the wound site. The end
  of the infusion tubing is marked by a black band
  that should be positioned just below the skin
  surface (see photo g).
• Secure the catheter by coiling it close to the
  insertion site and attach it to the patient
  skin using the wound dressing (see photo h).

Caution Do not cover the filter of
SmartInfuser Set
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(11) Organizing the System

• Place the pump in the Carry Pouch verify the
  regulator laying loosely within the the body of
  the pouch to avoid any kinks.

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(12) Using the Bolus
(a) Place the bolus over the wrist and secure it
by tighten the strip.
(b) Push the bolus button for an extra dose of
medication when suffering exceptional pain. 
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THANK YOU!
Thank you for your attention