Clinical innovations Koala User manual

Quick Reference Guide
See Instructions for Use for full instructions, warnings, precautions & contraindications
45cm
STOP
Circumferential Sensor for
o
non-occluded, 360 readings
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0 0
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1 Connect Cable to Monitor
4Advance Catheter 5Secure Catheter
3 Insert Catheter
6Zero Monitor & Connect Cable
Connect reusable cable to monitor.
Advance catheter to ‘45cm STOP’ mark.
Remove introducer from catheter.
Insert catheter 10-14cm into the intra-
amniotic space and pause when text
‘PAUSE FOR FLASHBACK’ is visible and
amniotic uid is visualized in the catheter lumen.
Remove catheter from package.
Use aseptic hand o as required.
Pinch adhesive pad around catheter
before securing to patient’s thigh
near introitus.
Zero the monitor and then connect
the reusable cable to the catheter.
Introducer
Introducer
S
T
O
P
45cm
PAUSE FOR FLASHBACK
2Remove Catheter from Package

See Instructions for Use for full instructions,
warnings, precautions & contraindication
The following chemicals are compatible with the Koala cable: Alcohol-free
hand soap, Sodium hypochlorite (bleach) solution 10% in water, 70-80% Iso-
propanol, Ethanol 70%, Dilution of formaldehyde 3-6%, Cidex and Cidex plus.
AMNIO
Non-itered
Cap
Swab
Circumferential Sensor for
o
non-occluded, 360 readings
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Proper Placement Improper Placement
Studies indicate that IUPCs are inadvertently placed outside
the amniotic membranes (extraovular - between the
chorion and the decidua-endometrial lining).
A catheter placed extraovular will still provide a reading,
but not the reading of absolute intrauterine pressure.
Deliberate and careful steps must be taken to ensure
proper catheter placement in the intra-amniotic space with
all IUPCs. Koala features a clear amniolumen to conrm
proper placement in the amniotic space.
Proper placement is conrmed with ashback of amniotic
uid, crisp waveforms and a good baseline.
Troubleshooting
Re-Zeroing the Cable Throughout
Labor (after initial insertion)
1Disconnect cable from catheter
(Do not disconnect cable from monitor)
2. Zero UA monitor according to manufacturer’s instructions
3. Wait 15 seconds
4. Reconnect cable to catheter and verify functionality
clinicalinnovations.com
747 West 4170 South | Murray, Utah USA 84123
Phone [phone] | Fax [phone]
Toll Free +1.888.268.6222
© Clinical Innovations, LLC. All rights reserved. | ART-0144 Rev.01
Reusable Cable Cleaning Instructions
• Wipe the monitor plug and cable with water or alcohol
• Clean the outside of the catheter connector with soap and
water
• Apply water or alcohol to the swab that is provided. If
swabs other than those included are used, take care to
avoid disturbing the transducer protecting gel inside the
connector.
• Insert the swab inside the cable connector cone
• Rotate the swab and move it around the inside of the cone
Dampened Waveforms/Oligohydramnios
Action: If proper catheter placement is conrmed with
amniotic uid ashback, disconnect catheter from cable and
ush with 10 ml to 20 ml through Koala’s amnioport. The
catheter can also be rotated, advanced or retracted slightly.
Replace blue vented cap with the clear tethered cap after
ushing.
Local Distributor:
Reusable Connector
AMNIO
Endometrial Lining
Amniotic
Fluid
Space
Placenta
Circumferential Sensor for
o
non-occluded, 360 readings
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0 0
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0 0
Swab
forMOM. forBABY. forLIFE.™
Extraovular Placement
If amniotic uid is not present in catheter
lumen, question placement of catheter.
Presence of blood in catheter, high
baseline and dampened waveforms,
negative readings, or endometrial
tissue on catheter tip are all suggestive
of extraovular placement.
Action: Do not advance catheter; withdraw
and redirect. Pull back catheter tip to introducer
and alter catheter direction by changing angle of introducer,
or determine alternate position for placement and proceed
with insertion. Repeat insertion steps until proper placement
can be conrmed.
Good Baseline & Crisp Waveforms