Ecg (Electrocardiogram) Extension Cable - Teleflex ARROW EU-25855-CVT Manual De Instrucciones

ECG (Electrocardiogram) Extension Cable

Rx only.
Safety and Effi cacy Considerations:
Do not use if package has been previously opened or damaged.
Warning: Prior to use, read all package insert warnings,
precautions, and instructions. Failure to do so may result
in severe patient injury or death.
Do not alter cable during use.
ECG Extension Cable use must be performed by trained
personnel well versed in anatomical landmarks, safe technique,
and potential complications.
Indications for Use:
The ECG Extension Cable provides confi rmation of central venous
catheter placement by right atrial electrophysiology.
Contraindications:
None known.
Warnings and Precautions:*
1. Warning: Sterile, Single use: Do not reuse, reprocess
or resterilize. Reuse of device creates a potential risk of
serious injury and/or infection which may lead to death.
2. Warning: Strict electrical isolation and grounding
techniques must be used for monitoring equipment.
3. Warning: Do not leave cable attached to spring-wire guide
when cable not attached to monitor. An electrical shock
hazard is created due to a direct electrical path to the
patient. Always detach from spring-wire guide fi rst when
disconnecting ECG extension cable.
4. Warning: Due to the risk of exposure to HIV (Human
Immunodefi ciency Virus) or other blood borne pathogens,
health care workers should routinely use universal blood
and body-fl uid precautions in the care of all patients.
A Suggested Procedure:
Use sterile technique.
1. a) for Arrow catheters 20 and 30 cm:
Place the catheter into vessel using over-the-wire technique
per manufacturer's instructions. When 1 cm-wide mark
on spring wire guide exits catheter hub, the wire "J" is just
outside of catheter tip.
b) for Arrow catheters 16 cm:
Place the catheter into vessel using over-the-wire technique
per manufacturer's instructions. When 32 cm mark on spring
wire guide exits catheter hub, the wire "J" is just outside of
catheter tip.
c) for non-Arrow catheters:
Follow instructions for use of the manufacturer of the catheter
and spring wire.
2. Connect cable to monitor.
3. Connect alligator clamp of ECG extension cable to spring-
wire guide at 1 cm-wide mark.
4. Precaution: Do not allow spring-wire guide to move within
the catheter. Advance catheter and spring-wire guide as a unit
until P wave of ECG trace begins to progressively get larger. At
this point, the catheter tip should be at the cavo-atrial junction.
If the tip is advanced further into the right atrium, the P wave
will either be as large as the R wave or become biphasic.
For catheters 16 cm or shorter the catheter may not reach
the right atrium, and this technique can only be used to
determine if the catheter is facing the proper direction. Attach
extension cable as described above and advance catheter and
spring-wire guide as a unit. When the P wave becomes higher
than normal the catheter is facing the proper direction.
5. Withdraw catheter and spring-wire guide as a unit 2-3 cm from
cavo-atrial junction. At this position the tip should be within
the superior vena cava.
6. Holding catheter in place remove spring-wire guide.
7. Continue procedure per manufacturer's instructions.
*If you have any questions or would like additional reference
information, please contact Arrow International, Inc.
3