Troubleshooting - AMT MiniACE Button Gebrauchsanleitung

1. Deflate the balloon by attaching the Luer slip tip syringe into the balloon inflation port (Fig. 3) to withdraw the sterile or
distilled water.
2. Gently remove the device from the stoma site.
3. Replace as necessary following the MiniACE
NOTE: Spontaneous closure of the stoma may occur as early as 24 hours after removal. Insert new device if
irrigation by this route is still intended.
WARNING: Do NOT cut off the internal bolster or tubing, or allow to pass through the intestinal tract.
Long-term device performance and functionality is dependent on proper device usage per the instructions and varying
usage and environmental factors. While it is expected that you will use your irrigation device without any issues,
unexpected device problems can sometimes occur. The following section covers a number of performance or functionality
related items and how to help prevent these types of occurrences.
A tear has formed:
Tears can occur due to contact with a sharp or abrasive object,
excessive force, or excessive pressure. Due to the soft,
comfortable nature of the material the device is made from, small
tears can quickly lead to large tears or device failure. If a tear is
noticed on the device, consider replacing device and check for
any sources of tension, force, or sharpness that may be leading
to the tears occurring.
Leaking of balloon volume:
If balloon is deflating, remove balloon from stoma and inflate
balloon with recommended fill-volume. Check balloon for leakage
by gently massaging tubing and balloon. If no leakage is noted, re
-insert balloon back into stoma and re-inflate the balloon to
desired fill-volume. Do not exceed maximum fill volume. Only
access the balloon inflation port for balloon inflation and deflation.
Other uses can result in balloon leakage or device failure.
NOTE: The balloon is made of a semi-permeable material and
can lose a small amount of fill-volume over time depending on
environment and usage conditions.
Anti-reflux valve leakage or blockage:
Leakage/blockage of the anti-reflux valve typically occurs due to
residue (irrigation solution, intestinal contents, etc) becoming
stuck in the valve area, preventing the valve from fully closing.
Make sure device is flushed after each use. The valve can also
become inverted in rare cases. Insert extension set into port to
reset valve if this occurs.
Tubing has reduced flow or has become clogged:
Tubing can become blocked due to not properly flushing after
each use, use of thick irrigation solutions, and/or fungus growth. If
clogged, refer to the UNCLOGGING A DEVICE section for
instructions on how to unclog the device. If clog cannot be
removed, device may need to be replaced.
Device fit is too tight or too loose:
Balloon fit can be adjusted by adjusting balloon inflation within the
balloon inflation range in Table 1. If balloon fit is too loose,
increase balloon fill-volume above recommended but not above
max fill-volume. If balloon fit is too tight, decrease fill-volume
below recommended but not below min fill-volume. If device does
not properly fit with the fill-volume range, a new device length will
be needed.
Balloon is misshaped:
Be sure to inflate and inspect balloon prior to placement to check
balloon symmetry. Balloons becoming misshaped typically occur
due to excessive force or tension on the device (pulling device
out of stoma while balloon is inflated). Balloons can be gently
massaged with fingers back into symmetry if not excessively
misshaped. Devices should be replaced if balloon is found
excessively misshaped.
Device has become discolored:
The device can become discolored over days to months of use.
This is normal depending on the types of solutions being used
with the device.
REMOVAL OF THE MiniACE
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Button directions for use.

TROUBLESHOOTING

®
BUTTON
Balloon inflation valve leakage:
Leakage from this valve typically occurs due to residue in the fill-
valve. Always use a clean syringe when inflating the balloon and
only inflate water through the valve.
Leakage can also occur due to valve becoming stuck if syringe
is inserted too hard into valve. Insert the syringe into the balloon
inflation port if leakage is occurring to attempt to reset valve.
Several attempts may be necessary before valve resets.
Balloon will not inflate or deflate:
Inflation and deflation problems typically occur due to residue
blocking the fill-lumen. Always use a clean syringe when
inflating the balloon. In some rare occurrences, fungus can grow
inside of the tubing and block the fill-lumen. Fungus growth can
occur depending on patient environment and irrigation fluids
being administered through the device. If balloon will not deflate,
contact your healthcare professional for removal. If deflation
problem is the result of fungal growth, eliminating source of
fungal growth or anti-fungal medication may be required.
Interlock failure or cracked:
The interlock has been designed to withstand extreme forces
without detaching or cracking. However, the strength of the
bond and material can reduce over pro-longed use depending
on solutions used through the device. The device should be
replaced if interlock is found cracked, leaking, or separating
from the device.
Foul smell coming from the device:
Foul smells can occur due to not properly flushing the device
after each use, infection, or other growth forming inside of the
device. If a foul smell is noted coming from the device, device
should be flushed and stoma site should be gently cleaned with
soap and warm water. If foul smell does not go away, it is
recommended that you contact your healthcare professional.
Balloon failure:
Early balloon failure can occur due to a number of patient or
enivornment factors, including but not limited to: Intestinal pH,
diet, certain medications, improper balloon fill volume,
placement of device, improperly administering irrigation solution
into balloon port, trauma, contact with a sharp or abrasive
material, incorrect stoma length measurement, and overall care
of the device.
Plug will not stay closed:
Ensure that plug is being firmly and fully pressed into the
interlock connector. If plug is not staying closed, check the plug
and irrigation-port area for any excess residue build-up. Clean
excess residue build-up with cloth and warm water.
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