Maintenance And Monitoring - ProSystems Secco Instrucciones De Uso

9. Attach the syringe with a maximum of 45 ml of water to the solid white coloured inflation port but do not inflate.
10. Fold the retention cuff and tube as small as possible and hold between thumb and index finger.
11. Coat the cuff and end of catheter well with lubricating gel.
12. Insert the cuff end through the anal sphincter until the cuff is inside the rectal vault.
13. Inflate the cuff slowly with up to a maximum of 45 ml of water from the syringe and then
remove it by carefully holding the inflation port and gently unscrewing syringe. Do not
try to pull out the syringe - it disconnects after unscrewing the luer.
14. Pull gently on the catheter to ensure the retention cuff is correctly in place against
the rectal floor.
15. Ensure that the black line marked on the catheter tube is just visible outside
of the anus.
16. Reposition the patient and ensure that the silicone catheter runs between the patient's legs and is
not obstructed.
17. Ensure the hanger and bag hooks are properly attached to the collection bag and bed below
the level of the patient.
18. SECCO collection bags are fitted with a deodourizing filter/vent to remove unpleasant odour from flatus.
A sticky tab is provided in the kit tray which can be used to block flatus exit 'S' slit if not required.
Irrigation
The cuff and catheter may be flushed with water if they become clogged by solid faecal matter. This should be
done using the syringe provided and room temperature tap water via the irrigation port which is labelled IRRIG
on a solid blue background. The catheter should also be checked to ensure that it has not become kinked or
obstructed by the patient or other equipment. Alternatively, irrigation may be achieved via the flush/sampling port.
Changing Collection Bag
To change bags (supplied separately in 10 packs Order code SEC 200) carefully separate the
coupling ring by lifting the tab slightly as you disconnect (see picture) and lift the bag eyelets
off the hooks on the mounting plate. Keeping the bag upright, use closure cap supplied
pre-attached to bag to seal bag securely when full and then place it in an appropriate
biohazard bag for safe biohazard waste disposal in an approved location. Do not attempt
to drain the SECCO bag as the content is gelled by superabsorbent and is intended to be
disposed of complete with waste. Do not attempt to flush into the toilet system.

Maintenance and Monitoring

1. Check that the inflation cuff is correctly positioned against the rectal floor and cuff volume is correct.
2. Check that the black line on the catheter tube is visible.
3. Check that the catheter tube is flowing freely and is not kinked or obstructed by the patient's body or
other medical equipment.
4. Check that the collection bag does not need to be replaced.
5. Check for leakage around the catheter, if evident, check items 1-3 above.
6. A small amount of leakage is to be anticipated. To avoid skin irritation ensure an appropriate skin care
routine to keep the area clean, dry and protected with a moisture barrier product.
7. The SECCO System may be removed and replaced to allow for other patient procedures.
8. X-ray opaque marker. SECCO cuff location may be visualized in position under X-ray or fluoroscopy.
9. Stool Sampling - Open the flush/sampling port cap and insert a catheter tip syringe into the flush/sampling
port. Draw an appropriate sample into the syringe. Remove the syringe and close the cap securely.
Removing Catheter
1. Attach the syringe to the solid white inflation Port and withdraw all the water from the cuff.
2. Disconnect the syringe.
3. Hold the catheter firmly close to the patient and gently slide out in a smooth, continuous motion.
4. Dispose of the device in line with facility protocols for disposal of medical waste.
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