ENGLISH
6. Test the cuff for integrity by inflating
and deflating it completely.
7. Become familiar with the feel of the
tube and clear pilot balloon.
8. If applicable, verify that external
instruments of appropriate size can
be passed through the VivaSight-
SL without resistance. There is no
guarantee that instruments selected
solely using the effective inside
diameter will be compatible in
combination with the VivaSight-SL.
9. Induce anesthesia, as per protocol.
Recommendation: Use a ventilator
circuit holder to prevent VivaSight-
SL from kinking.
10. Suction the oral cavity and airway area
before inserting VivaSight-SL.
11. Prepare the patient, and lubricate the
tube (if needed), avoiding the area
around the camera lens at the distal
end of VivaSight-SL.
12. Intubate the patient and remove the
stylet. In case of obstructed or obscured
view, see "Cleaning the Lens".
DEPTH SCALING
Note: Suggested depth is 2 cm to 3 cm
above the main carina. VivaSight-SL has
been used at greater depths for one
lung ventilation, but keep in mind that
VivaSight-SL's electronic wire is outside
the protective lumen at 28 cm to 30 cm.
Like with most intubation tubes, a series
of depth marks appear on the side of
VivaSight-SL.
Depth marks range from 12 cm to 28 cm,
in 2 cm increments.
To determine a specific depth, gauge
from the carina:
1. Insert VivaSight-SL's camera up to the
depth of the carina.
2. Look at VivaSight-SL's depth marks on
the side of the tube.
3. Pull VivaSight-SL back from the carina
to the desired depth.
8
VISIBILITY DURING
PROCEDURE
In the unlikely event that the image is not
shown during a procedure, disconnect
the VivaSight-SL from the single use
adapter cable to the aView
and continue to use VivaSight-SL as a
standard airway tube. Do not attempt
to fix the connection or replace the
aView
monitor. Turn off the aView
TM
monitor and dispose of the single use
adapter cable.
CLEANING THE LENS
If VivaSight-SL's lens becomes soiled
or obscured by secretions, it can be
cleaned by injecting air, prescribed liquid
medications, or saline, where permitted
by institutional policy, into the injection
port of the rinsing tube.
Recommended lens cleaning method:
1. Inject 20 cc air into the injection tube
port (RED), and then check image clarity.
2. If the image is not sufficiently clear,
connect a 10 cc syringe filled with
2 cc of Saline, to the flushing port and
push the plunger. Perform this step
twice (total of 4 cc of Saline).
3. Fill a 10 cc syringe with 5-10 cc of air,
connect it to the flushing port and push
the plunger. Perform this step twice.
4. Connect an empty 10 cc syringe, to
the flushing port and suck the Saline.
Perform this step twice.
ADDITIONAL NOTES
• Continuous viewing of the airway
enables real-time verification of the
tube position, early detection of
adverse airway events, and secretion
management under visual guidance.
• Validation: During static situations
where VivaSight-SL is in place, and the
patient is not being moved, validation
that the system is operating must be
performed periodically by observing
breathing movements and cardiac
pumping movement in the image on
the aView
monitor.
TM
monitor
TM
TM