Contraindications - COOK Medical Kaye Bedienungsanleitung

KAYE NEPHROSTOMY TAMPONADE BALLOON CATHETER AND STENT SET
Used for nephrostomy drainage, ureteral drainage, and dynamic tamponade to prevent hemorrhage
following nephrolithotomy and percutaneous stone removal from tracts 18.0 French or larger. Intended for
one-time use.
SET CONTAINS
(set components may vary)
• 14.0 French radiopaque polyethylene catheter 25 cm long with balloon 15 cm long by 12 mm (36.0 French)
diameter
• Non-radiopaque flexible stylet
• 5.0 French radiopaque polyurethane stent 75 cm long
• 14.0 French polyvinylchloride Y-connecting tube 30 cm long
• 10 ml syringe
CAUTION: Sterile if the package is unopened or undamaged. Do not use if package is broken.

CONTRAINDICATIONS

There are no known contraindications.
SUGGESTED INSTRUCTIONS FOR USING KAYE NEPHROSTOMY TAMPONADE STENT
1. When performing the percutaneous nephrostomy, remove the Tuohy-Borst adapter and the stent-to-
catheter adapter or side-arm adapter, and advance the stent over the safety wire and into the ureter. The
stent now serves as a safety wire catheter and should be secured to the skin.
2. Tract dilation and placement of the nephroscopy sheath is performed in the usual manner, followed by
stone manipulation.
3. Upon termination of the procedure, remove the nephroscopy sheath, and the working wire if still in place.
SUGGESTED INSTRUCTIONS FOR USING KAYE NEPHROSTOMY TAMPONADE BALLOON
CATHETER AND STENT SET
CAUTION: Not recommended for dilation of a nephrostomy tract.
NOTE: Remove all instrumentation related to previous procedure, with the exception of the safety
wire and/or safety wire catheter. If the working wire was removed during the procedure, replace it
under endoscopic vision with a wire guide.
NOTE: Product will accept up to an .038 inch diameter wire guide.
1. Withdraw protective sheath from balloon of catheter. Discard sheath.
2. Using syringe, inject 3-4 ml of dilute contrast medium into the balloon.
WARNING: Always inflate balloon with sterile liquid. Never inflate with air, carbon dioxide or any
other gas.
CAUTION: Refer to product label for maximum inflation pressure. Do not exceed the maximum
inflation pressure for this balloon device.
3. Pass catheter over previously placed .038 inch (0.97 mm) diameter wire guide into the renal pelvis.
4. Under fluoroscopic control, position the catheter so that 2-3 cm of the balloon is within the collecting
system.
CAUTION: When positioning the balloon catheter, it is useful to have the collecting system opacified
with contrast medium (using the ureteral catheter from the primary procedure). It is inadvisable to
have the balloon catheter too far into the pelvis or down the ureter since the balloon may occlude
infundibulae, or the catheter tip may irritate the pelvis (Figure A).
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