Avanos CORTRAK 2 User manual

ONLY USE CORTRAK* 2 IF TRAINED
Contraindications For Use
DO NOT use the CORTRAK*2 Enteral Access System
for patients with implanted medical devices that may
be affected by electromagnetic fields.
Supplies
• Monitor Unit
• CORTRAK* 2 Feeding Tube
• Water-soluble lubricant
• Water to flush feeding tube and activate
hydrophilic lubricant
• Receiver Unit (RU)
• Syringe
• Tape or CORGRIP*
(NG/NI tube retention system)
• Transmitting Stylet
• Tape or orange weight to secure RU
• Towel or leveling device
(If needed to level receiver)
Screen Views
CORTRAK*2
ENTERAL ACCESS SYSTEM
QUICK REFERENCE GUIDE
Anterior View
CORTRAK*2 Placement Screen
Lateral View Depth Cross Section
Y-axis: Represents patient midline
X-axis: Represents diaphragm
The yellow tracing represents the
history of Stylet tip movement
through the body.
Change View

ONLY USE CORTRAK* 2 IF TRAINED
SET UP
Positioning and Setup
Make Connections and Inspect
Turn On and Login
Place Front Foot of Receiver on Xiphoid Process
Position patient
per institution
protocol.
Receiver to
Monitor
Palpate lower sternum,
follow to Xiphoid. Secure Receiver with tape
(directly on skin) or with weight.
Place front foot of Receiver on Xiphoid, align vertically and parallel with
spine. To level for patient, place a towel under the Receiver.
Turn Monitor on.
Press and hold
for approximately
5 seconds until it
remains green to
power on.
Enter your login &
password.
Monitor position
Receiver Unit and
Monitor should be at
least 2’ apart.
Interconnect Cable
to Monitor
Select “New
Placement”.
Enter patient
information
(first and last
name, ID #).
1
2
3
4

INSERTION
Tube Preparation
Initiate Insertion
Insertion
End and Print
Connect Stylet cable (orange) to Interconnect Cable (orange)
and secure Stylet to tube.
Insert tube + Stylet
For Adult
Position tube at 5-10 cm
inserted into nasal passage.
For Pediatric
Position tube into nare.
To End Procedure
Press end.
Secure tube.
Confirm placement per institution
protocol.
Flush tube.
Remove Stylet and store loosely
coiled in the bag provided.
Print
Press print on main screen.
Switch to 3rd screen view.
Press to print 3rd screen view.
Place print per institution protocol.
Advance tube through esophagus to stomach and small bowel.
Observe the tracing location while monitoring for patient or Receiver movement.
A green dot on the trace indicates an active tip. Red dot indicates placement has ended.
Stomach Small Bowel
Measure tube per
institution protocol.
Lubricate tube.
If tube deviates from vertical midline or
patient coughs, potential lung placement.
Immediately withdraw tube.
ONLY USE CORTRAK* 2 IF TRAINEDONLY USE CORTRAK* 2 IF TRAINED
Press start on the Receiver Unit.
Wait for green light on Receiver to blink.
If you see OUT OF RANGE, be patient the
green dot (representing tube tip) is not in
range yet. Slowly advance the tube.
Stylet to
interconnect
cable
Secure
stylet to
tube
5
6
7
8

TROUBLESHOOTING
Situation Solution
Monitor
Monitor won’t turn on.
Hold for approximately
5 seconds until a solid
green light appears.
Transmitting Stylet/Driver Fault message. Re-connect the Stylet to the
Interconnect Cable. Press “Try Again”
Out of Range message. Be patient the feeding tube tip is not in range yet.
Slowly advance the tube.
Receiver Unit (RU)
Solid green light on Receiver Unit. Press solid orange button and wait for blinking green light to
appear before advancing.
Blinking green light on Receiver Unit. System is ready and will begin to track position of tube.
Slowly advance tube.
Blinking red light or Receiver Unit Fault / Receiver Unit Self
Test Failure messages
Check to make sure the RU is at least 2 feet from
the Monitor Unit. Unplug RU and reconnect
to Monitor Unit. If the problem persists, the
Receiver may need to be replaced.
Tracing makes an abrupt turn or jumps during placement. Check location of RU on patient. It may have moved.
Resecure on the Xiphoid Process.
Tracing comes from the side not center. Check RU placement to ensure it is aligned with patient’s
midline.
Tube Placement
Tracing takes a sharp turn to the
right or left above the horizontal
axis (top quadrants of the
screen).
STOP Placement. Lung placement is suspected,
slowly retract the feeding tube, adjust the tube
and proceed with placement Check Receiver Unit
position.
Tracing is not following the expected path. STOP Placement.
Check Receiver Unit position.
Green dot does not move forward on Monitor. Coiling in stomach is suspected – slowly retract the feeding
tube until green dot moves backward. Then proceed.
Stylet Removal Stylet feels stuck or difficult to remove during Stylet removal. To remove the Stylet, activate internal lubricant by flushing
feeding tube with 10ml of water.
Reinsertion of the Stylet Stylet does not advance during reinsertion of Stylet.
Remove Stylet.
Lubricate Stylet with water-soluble
lubricant and reinsert.
www.avanos.com
Distributed in the USA by Avanos Medical Sales, LLC, 5405 Windward Parkway, Alpharetta, GA 30004 USA. In USA, 1-844-4AVANOS (1-844-428-2667). www.avanos.com
Avanos Medical, Inc., 5405 Windward Parkway, Alpharetta, GA 30004 USA. Avanos Medical Belgium BVBA, Leonardo Da Vincilaan 1, 1930 Zaventem, Belgium.
Sponsored in Australia by Avanos Medical Australia Pty Ltd, 475 Victoria Avenue, Chatswood, NSW 2067 Australia.
*Registered Trademark or Trademark of Avanos Medical, Inc., or its affiliates. © 2018 AVNS. All rights reserved. 2019-04-11 15-M1-360-01 / 70213439