Instructions - LifeNet Health
Transcription
Instructions - LifeNet Health
AngioGRAFT ® by Cryopreserved Bio-Implants for Vascular Procedures Thaw & Dilution Instructions Vascular Bio-Implants Thaw & Dilution Instructions Required Sterile Supplies: • Two (2) major basins (5 liter capacity or greater) • 1 liter room temperature D5LR Sterile Solution (Lactated Ringers w / 5% Dextrose) • Clamp • Scissors • Smooth Forceps 1 Step 1 Non-Sterile Team Member: Using insulated gloves, retrieve/ open the boxed graft and inspect the pouch to ensure its integrity. Do not use the graft if the packaging is damaged. • 2 liters warm 0.9% normal saline minimum (additional warm and room temperature saline may be required to maintain thawing temperature of 37°C to 42°C). • 20 cc syringe • Thermometer 2 3 4 Step 2 Replace the graft in the box, leave the lid open. Keep at room temperature for 7 minutes. Step 3 Remove graft from box, open outer peel pack and present to Sterile Team Member. Step 4 Sterile Team Member: Double glove and grasp inner pouch by sealed edge with a clamp and remove from outer peel pack. 5 6 7 Step 5 Lower inner pouch into 5 liter basin containing minimum of 2 liters warmed (37–42˚C) sterile saline solution. Step 6 Gently agitate pouch periodically 5–7 minutes until ice is melted. Step 7 When graft is thawed, dry outside of pouch and open with scissors. 9 Step 9 Sterile Team Member: Remove graft with smooth forceps and place into basin of D5LR. 10 Step 10 Discard outer gloves and cut non-cannulated end of vessel at suture tie to allow perfusion. Gently flush the graft with 20 ml of D5LR. Allow the graft to remain fully submerged for 10 minutes. 11 Step 11 Gently flush the graft again with 20 ml of D5LR. The graft is ready for implantation. 8 Step 8 Non-Sterile Team Member: Pour 1 liter room temperature D5LR into second large sterile basin. NOTES: • Use aseptic technique at all times; prepare each allograft separately. • Use sterile thermometer or sterile warmer to maintain a temperature of 37–42˚C throughout the thawing process. • If implantation is delayed, cover basin with sterile towel and place basin in larger basin of sterile slush. AngioGRAFT ® Vascular Saphenous Veins | AngioGRAFT® Size Order Code L = 21 - 30 cm; OD ≥3 mm CV21-30 L = 31 - 45 cm; OD ≥3 mm CV31-45 L = 46 - 60 cm; OD ≥3 mm CV46-60 L = 61 - 70 cm; OD ≥3 mm CV61-70 L = 71 - 80 cm; OD ≥3 mm CV71-80 L = 80 cm; OD ≥3 mm CV>80 Femoral Vessels | AngioGRAFT® FEMORAL VEINS FEMORAL ARTERY Size Order Code L = < 21 cm; OD 5–17 mm FV<21 L = 21 - 30 cm; OD 5–17 mm FV21-30 L = > 30 cm; OD 5–17 mm FV>30 Size Order Code L = < 21 cm; OD 4–10 mm FA<21 L = 21 - 30 cm; OD 4–10 mm FA21-30 L = > 30 cm; OD 4–10 mm FA>30 www.LifeNetHealth.org 1-888-847-7831 757-464-4761 ext2000 (OUS) AngioGraft and the LifeNet Health logo are registered trademarks of LifeNet Health, Inc. Virginia Beach, VA ©2015 LifeNet Health. All rights reserved. 68-40-143-01 Rev. 03 All vessels are measured by outside diameter (OD).