Halyard Mini-BAL Gebrauchsanweisung Seite 4

d. Insert Mini-BAL through the Mini-BAL adapter into Seal Cassette.
(Fig. A)
e. Follow steps 3A.e – g above.
4. Flushing Protocol
a. Align the endotracheal tube depth markings to the inner catheter
markings.
b. Advance Mini-BAL 5 cm beyond the end of the endotracheal or
tracheostomy tube.
Caution: If difficult to advance, retract Mini-BAL slightly to
clear the end of endotracheal tube and re-advance.
c. Clear tip by flushing with 2 ml saline.
5. Sampling Protocol
a. Hold outer sheath in place and advance the inner catheter until
resistance is met. (Fig. 5)
(Inner catheter should now be in a wedge position.)
b. Lock outer sheath in position by sliding blue slidelock
(Fig. 2g) on access port elbow to locked position.
c. Perform BAL according to protocol.
6. After obtaining the final sample, pull the inner catheter back until
the first black strip is visible behind the control hub.
7A. Detachment Protocol (For use directly with artificial airway)
a. Remove Mini-BAL and access port elbow from the circuit and
reconnect the ventilator.
7B. Detachment Protocol (For Use with HALYARD* MAP CSS)
a. Open the blue slidelock of Mini-BAL adapter and retract Mini-BAL
completely.
b. Depress plunger button and rotate HALYARD* MAP Closed Suction
Manifold to the "Off" or "Suction" position.
c. Remove the Seal Cassette and Mini-BAL Adapter by rotating
counter clockwise.
d. Replace with new Seal Cassette (Fig. 1c) found in Mini-BAL
package after each use or instrument insertion.
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