VBM Medizintechnik Manujet III Instrucciones De Uso página 8

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gENERAL INFoRmATIoN
The Manujet III is a manually controlled oxygen delivery system used for transtracheal ventilation. It is re-commended for
emergency rooms, crash carts, ambulances and operating rooms as it offers a quick and efficient oxygenation of a patient.
INTENDED USE
The Manujet III is designed to provide transtracheal ventilation in specific emergency situations of upper airway obstruc-
tions. Ventilation is achieved in conjunction with a transtracheal catheter, or cricothyrotomy device, which is inserted
through the cricothyroid membrane. Ventilation is accomplished by manual, intermittent jetting of oxygen through the
catheter.
cAUTIoN
Maximum operation pressure is 4 bar (58 psi). The pressure regulator and gauge ensure that the maximum operation
pressure of 4 bar (58 psi) is not exceeded.
Total airway obstruction is a contra-indication for this device because exhalation can not take place. The device is not
intended for infants or neonates.
The user must ensure that the oxygen source is particle-free.
EmERgENcy USE VIA TRANSTRAchEAL VENTILATIoN
As a life saving manoeuvre in the "cannot intubate – cannot ventilate" situation for oxygenation to avoid a severe
desaturation of the patient.
For prehospital use if there is a partial obstruction of the upper airway. In emergency situations the Trans Tracheal Jet
Ventilation (TTJV) has fewer complications, and is faster and simpler as a surgical cricothyrotomy.
ELEcTIVE USE
Microlaryngoscopy
Rigid bronchoscopy
To assist a difficult fibreoptic intubation
Predicted difficult extubation
SAFETy INSTRUcTIoNS
Ventilation values mentioned in this instruction for use cannot be compared with the ventilation via a cuffed Endotra-
cheal Tube due to the loss of air through the upper airway.
When ventilating with Manujet III, the patient needs to be observed all the time. Pulse oximetry or chest movement
may indicate successful ventilation. As Manujet III is a manual device the user has to take responsibility.
The user must ensure that expiration takes place via the upper airways. A total obstruction is a contra-indication for
the use of Manujet III with Jet Ventilation Catheter. If another way of securing the airway is not possible and expira-
tion is not assured, ventilation frequency should be reduced to 3 strokes per minute to avoid barotrauma. This can be
sufficient as a life saving manoeuvre in case of a total upper airway obstruction.
The use of Manujet III is not recommended for Infants or Neonates and should only be used as a life saving mano-
euvre. In this case use the 16 G catheter and limit every stroke to max. 1 second (0.4 - 0.8 bar / 6 - 12 psi).
FIRE HAZARD: Oxygen that flows through the Manujet III is not flammable by itself. However oxygen acts as a fire
accelerant.
Make sure that damaged high pressure hoses and damaged small bore tubings are not used. Before each use a
complete function check must be carried out. Connect the device to the oxygen source. Every ventilation pressure
from 0 - 3.5 bar (0 - 51 psi) must be adjustable and a ventilation must be possible.
Do not connect the Manujet III to an IV-cannula.
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