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4.
Place knit cap over neonate's occipital area to ensure stability
(cap can be cuffed for size.) Leave band open (Figure 4).
HOOK/LOOP
BAND
Figure 4
5.
Begin the prescribed gas flow. Fit nasal cannulae in neonate's nares.
Hold prongs in place until neonate becomes stable and continuous
flow begins through the circuit. This may take a minute or two
(Figure 5).
Figure 5
The cannulae prongs should fit the nares snugly without pinching
the septum. If the prongs do not fit snugly, the excess movement
may cause damage to the mucosa and possible septal erosion.
The nasal prongs should fill the nasal opening completely without
stretching the skin or putting undue pressure on the nares
(blanching around the rim of the nostrils suggests that the
prongs are too large).
Do not allow the bridge of the cannulae to press up against the
septum. There should be a small space between the tip of the
septum and the bridge between the prongs.
Note: Applying a skin barrier material where the nasal cannulae
makes contact with the skin may minimize tissue damage. (Ref. Neo-
prep skin barrier, small P/N 44-8000 or large, P/N 44-8001).
6.
Make initial bends in Stay-Flex tubing to conform to neonate's head
size and position (i.e., prone, supine).
7.
Place both left and right lengths of Stay-Flex tubing snugly into slit of
foam block (Figure 6).
Figure 6
8.
Position foam blocks between knit cap and cotton band, and secure by
wrapping the band around the head and securing it with the hook/loop
tab. This will hold tubing securely and comfortably in place. The foam
also provides a cushion between the tubing and the neonate's head
(Figure 7).
95 Corporate Drive • Trumbull, CT 06611 USA
Phone: (800) 243-2974 • Fax: (800) 262-0105
37368-DFU • Rev. A • 11/13
KNIT CAP
International
Phone: (203) 601-9818
Fax: (203) 601-4747
FOAM BLOCK
Figure 7
9.
Make final adjustments in Stay-Flex tubing to fine-tune prong position.
Ideally 1/3 to 1/2 of the prong should rest in neonate's nares.
10. Alter the neonate's positioning from the supine to the prone or sideline
positions as necessary. Re-adjust the Stay Flex tubing if required.
11. Use an oral gastric tube to eliminate gastric insufflation if required.
12. To help optimize the effect of CPAP, a chin strap may help prevent
mouth leaks. To apply the chin strap to the neonate, place cotton side
of the chin strap under the chin (blue lines on exterior side). Ensure
blue line side does not touch neonate's face. Apply adhesive side of
hook tab to cotton side of chin strap. Fasten both ends of chin strap to
knit cap band. Be careful not to fasten the chin strap too tightly.
INSTRUCTIONS FOR USE – INCA REPLACEMENT SECTIONS
To remove the used tubing and cannulae:
1.
Gently remove the cannulae from the nares.
2.
Lift the tubing out of the head band assembly, leave foam blocks.
3.
Disconnect the used tubing from the circuit at the white adapter on one
side, and at the pressure "T" adapter on the other side. If the
ventilator system does not have a separate pressure monitoring line,
remove "T" adapter and replace with extra white adapter included in tray.
4.
Install replacement tubing and cannulae per previous instructions.
INSTRUCTIONS FOR USE – INCA ACCESSORY PACK
The Accessory Pack provides clinicians with extra hats when cannulae and
hat sizes do not match neonate. The pack also includes extra chin straps,
hook-and-loop fasteners and foam blocks.
See "INCA Complete Sets" above for directions for use.
EXPLANATION OF SYMBOLS
REF
Reorder Number
Batch Code
LOT
Use By
Do Not Reuse
Latex Free
Sterilized using Ethylene Oxide, Nasal
Cannulae Only
ATTENTION: See instructions for use.
Authorized Representative in the
European Community
Product conforms to the Medical Device
Directive 93/42/EEC
Manufacturer
CooperSurgical, Inc
95 Corporate Drive
Trumbull, CT 06611 USA
EMERGO EUROPE
Molenstraat 15
2513 BH, The Hague
The Netherldands
FOAM BLOCK
Made in the USA
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