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13. Prime the entire system with therapeutic solution by depressing the Squirt. The
approximate system prime volumes for each catheter are as follows:
45cm catheter - 1.0ml
90cm catheter - 1.5mls
135cm catheter - 2.0mls
Warning: All therapeutic agents to be infused must be used according to the
manufacturer's instructions for use.
ADMINISTERING INFUSION THERAPY WITH SQUIRT DEVICE
14. The stroke volume ejected from the Squirt can be adjusted from 0 - 1 ml of fluid
by turning the knurled knob located in the handle. When holding the Squirt
with the Sherlock connector pointed away from user, rotate the knob clockwise
to decrease stroke volume. Rotating the knob in a counter-clockwise direction
will increase the stroke volume of the device. (Figure 9) Adjust the plunger tip
to the amount of fluid to be infused with each stroke by aligning the plunger
ring with the gradation marks on the Squirt's barrel. After activating the trigger
once the dosage is set and will deliver the same amount of fluid each time the
activation trigger is fully pulled.
To infuse the therapeutic solution, depress the Squirt as needed. This procedure
should be repeated for the duration of therapy as directed by the physician.
INSTRUCTIONS FOR USE WITH A RESERVOIR BAG OR BOTTLE
15. Attach tubing connector to the female luer attachment located on the underside
portion of the Squirt. Make sure the connection is air-tight so that no air can
enter the system.
16. Holding the Squirt in an upright position prime the Squirt System in a similar
manner to the priming instructions as listed above.
17. Turn Squirt such that the Sherlock connector is pointing up. Repeatedly activate
the trigger bar until all air is out of fluid path. This may include tapping the
Squirt with a hemostat or similar device. The device is now ready to inject fluid
into the Fountain ValveTip Infusion Catheter. (Figure 9)
Caution: Make sure that fluid level in reservoir bag or bottle is continuously
monitored so air is not inadvertently injected.
INFUSION INSTRUCTIONS - IF USING PULSE INFUSION KIT
1. The 1 ml infusion syringe, CRV, and hemostasis valve are pre-assembled. Fill the
20 ml reservoir syringe with heparinized saline and attach to the inlet side-port
of the check valve. (Figure 10)
2. Prime the hemostasis and check valves by placing a gloved thumb over the
rotating adapter located on the hemostasis valve while activating the 1 ml
infusion syringe. (Figure 11) 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
(Figure 14). Continue to activate the infusion syringe to debubble the distal
segment of the hemostasis valve.
FIGURE 9
FIGURE 10
3. Prime the hemostasis and check valves by placing a gloved thumb over the
rotating adapter located on the hemostasis valve while activating the 1 ml
infusion syringe (Figure 12). This will force saline out of the back end cap of the
hemostasis valve.
4. Close the back end cap by twisting it in a clockwise direction (Figure 13).
Continue to activate the infusion syringe to debubble the distal segment of the
hemostasis valve. Continue to activate the infusion syringe. This will ensure that
a liquid meniscus is at the distal segment of the hemostasis valve.
5. Attach the rotating adapter of the hemostasis valve to the luer lock connector on
the Fountain Infusion Catheter, making sure that a liquid-to-liquid connection is
established. (Figure 14)
6. The 1 ml infusion syringe should be activated so heparinized saline from the 20
ml reservoir syringe comes through the back end cap of the hemostasis valve
until all the air has been displaced. (Figure 15)
FIGURE 11
FIGURE 12
FIGURE 13
FIGURE 14
FIGURE 15
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