Great Bear Healthcare Libra Leg Bag Series User manual

Drainage Bag
User Guide

Hello..
We are Great Bear.
Dignity, Respect, Quality & Commitment.
Contents
Overview To The Libra Leg Bag 4
Connecting The Libra Leg Bag 6
Emptying The Libra Leg Bag 7
Suspensory Options And Where To Position 8
Dierent Types Of Leg Bag 9
GB Night Bags - Single Use 10
GB Night Bags - Reusable 11
Choosing A Night Bag 12
Overnight Link System 13
Using A Night Stand 14
Key Tips & Troubleshooting 15/16
Importance Of Catheter Fixation 17/18
Ordering Codes 19/20
Notes 21/22
Ordering Through Nightingale 23
A UK Manufacturer committed to Urology.

Libra Leg Bag
Utilising high quality materials with a user friendly
design, the Libra Leg Bag provides total peace of
mind for users and carers alike.
With a comprehensive range of sizes and tube
lengths, we are condent that there will be a
Libra Leg Bag to suit all needs.
Condence, Security & Comfort.
Needle-free sample port
for easy, safe sampling
Ridged connector for
a secure tting to a
Catheter or Sheath
180˚ Lever Action Tap simple
to operate and secure
Kink resistant silicone tubing
for easy overnight drainage
Smooth fabric backing
for a comfortable t
Non-return valve reduces the
risk of ascending infections
Date tted box for easy
monitoring of how long the
Libra Leg Bag has been in use
Did you know... The Libra Leg Bag tap can be swivelled for comfort
and extra security. It also features raised ridges to allow the visually
impaired to identify whether the bag is open or closed.
Key Features
5

How to connect the
Libra Leg Bag to a
Catheter or Sheath
1) Wash Hands.
2) Open peel pouch and remove Libra Leg Bag from its packaging.
3) Ensure the lever on the outlet tap is in the closed position
(Diagram 2).
4) Remove the grey protective cap from the Libra inlet connector.
5) Insert the ridged inlet connector into the end of the Indwelling
Catheter or Sheath. Insert the connector fully to allow a
secure connection.
6) The Libra Leg Bag should be positioned on the thigh or calf,
depending on the tube length, and secured appropriately with
the leg bag straps provided – see page 8 for more information.
7) Feed the Leg Bag Straps through the eyelets on the bag and
ensure the wavy silicone lines face onto the leg.
8) Make sure the inlet tubing isn’t kinked which can restrict the ow
of urine. Ensure you do not touch the open end of either the
Catheter or Leg Bag Connector when connecting, emptying or
changing the Leg Bag as this could lead to infection.
How to empty the
Libra Leg Bag
Your Healthcare Professional will be able to
advise you on how often you should empty
your Libra Leg Bag. The frequency will
depend on your urinary output and what
capacity of Leg Bag you are wearing.
If unsure, empty your Leg Bag when it is
two thirds full.
1) Wash Hands.
2) Empty the Libra Leg Bag by pushing the lever on the outlet tap
all the way down to open (Diagram 1, Page 6).
3) Urine will ow from the outlet tap.
4) After remember to close the tap fully after emptying
(Diagram 2, Page 6).
5) Wash hands.
Open tap
Diagram 1
Close tap
Diagram 2
6 7

Suspensory Options
& where to position
There are two main ways to support
the weight of your Libra Leg Bag; Libra
Leg Bag Straps or the Libra
Leg Bag Holder.
Important: Do not let your Leg Bag hang
unsupported from your Catheter as this will
cause urethral discomfort and trauma.
Libra Leg Bag Straps
Libra Leg Bag Straps support the Libra Leg Bag from the
top and bottom and secure it comfortably to the leg.
The Libra Leg Bag will either be positioned on the thigh
(if you are using a short tube or direct inlet) or on the calf
(if you are using a long or adjustable tube).
1) Feed the longer Libra Leg Bag strap through the
4 eyelets at the top of your Leg Bag (Diagram 1).
2) Feed the shorter Libra Leg Bag strap through the
2 eyelets at the bottom of your Leg Bag (Diagram 1).
3) Ensure the silicone lines are facing your skin.
4) Wrap the straps around your thigh or calf in the
desired position (Diagram 2).
5) Secure using the velcro tabs ensuring that the strap
is not overtightened to prevent circulation in the leg.
Libra Leg Bag Holder
Alternatively, you can use the Libra Leg Bag Holder which
encases the Leg Bag on the leg, oering full support whilst
allowing the skin to breathe.
Diagram 1
Diagram 2
Dierent types
of Leg Bag
As well as the standard Libra Leg Bag, Great Bear also oer
the Libra Conform Leg Bag and Paediatric Leg Bag – ensuring
that there is a Leg Bag suitable for individual
patient needs.
Libra
Conform
Designed for maximum discretion and comfort,
the Libra Conform is a three chambered Leg
Bag that will wrap around the contour of the leg.
Ideal for those who are more active
as the “ballooning” eect and audible
noises associated with drainage bags are
minimised as the urine is evenly distributed
amongst the three chambers.
Paediatric Bags
Mummy, Daddy and Baby Bear are designed specically for babies and young
children with a fun child-friendly appearance and less cumbersome sizes.
Mummy, Daddy and Baby Bear Leg Bags are recommended for babies and young
children under the age of 5.
8 9

GB Night Bag Range
- Single Use
Our Night Drainage Bags can be connected to a Leg Bag to allow overnight drainage.
The single use design means that, once emptied, they can be disposed
of for ease and convenience.
Key Features of the Single Use Night Bag Range
1) Drainable and non drainable designs available.
2) 2 litre and 3 litre capacities available.
3) Choice of both sterile or non sterile options.
4) 4 punched out hanger holes to allow positioning on a night stand.
5) Tear open strip on the GB2 and single use T tap on the GB3/GB3S allows for quick
and easy emptying.
6) Tamper Proof – Our single use Night Bags cannot be reused after emptying.
7) A safety clip on the GB3, GB3S and GB5 protects the tap from accidental opening.
8) A universal design can be used with any leg bag.
Important: Do not connect a Single Use Night Bag directly to an Indwelling
Catheter. Single Use Night Bags should only be connected to a Sheath or to
a Leg Bag as part of an overnight link system (Page 13)
GB Night Bag Range
- Reusable
The GB4, GB4 Fold Up and GB6 can be connected directly to a Sheath or an
Indwelling Catheter and can be used for a period of 5-7 days. Do not reconnect a
Night Bag or GB4 Fold Up after disconnecting from the Catheter.
Key Features of the Reusuable Night Bag Range
1) Sterile, Drainable Night Bags with our easy to use lever action tap.
2) 2 litre and 3 litre capacities available.
3) Flexible, wide bore tubing for easy drainage.
4) Date Fitted Box for easy monitoring of how long the Night Bag has been in use.
5) 4 punched out hanger holes to allow positioning on a night stand.
6) The tap on the GB4 Fold Up can be folded up to prevent prolonged contact
with potentially contaminated surfaces.
7) A universal design can be used with any brand of Leg Bag.
10 11

Which Night Bag
is right for me?
GB Night Bags are designed with common features but also
with specic benets to suit individual needs. Here are some
considerations to make when selecting a Night Bag:
1) Do you wear a Leg Bag or Catheter Valve and need a
Night Bag for additional drainage?
If yes, a Single Use Night Bag would be benecial.
You connect it directly to your Leg Bag or Catheter
Valve as part of an overnight link system (Page 13).
2) Are you largely immobile or under bed rest?
If so, one of the reusable options would be suitable as
they can be connected directly to the Catheter and kept
in situ for 5-7 days without a need for a Leg Bag.
3) Are you susceptible to infections?
Those who are more vulnerable or at
risk of infection could benet from
our GB3S - a Night Bag that
combines the infection control
benets of both single use
and sterile options.
Remember
Under no circumstances
should any Night Bag be
reused once the initial
connection has been
broken.
Overnight
Link System
Where a Leg Bag is being used, a 2 litre or 3 litre Night Bag can
be connected to the end of the Leg Bag to provide additional
capacity for overnight drainage.
1) When you go to bed, do not disconnect your Leg Bag from
your Catheter or Sheath.
2) Insert the connector of your Night Bag to the silicone sleeve
on your Leg Bag (Diagram 1). Insert the connector fully to
allow a secure connection.
3) Once connected, turn the Libra Leg Bag tap to the open
position (Diagram 2) to allow the overnight drainage into
the Night Bag.
4) Before disconnecting the Night Bag in the morning, ensure
the Libra Leg Bag tap is in the closed position (Diagram 3).
The next night, use a new Night Bag
– never reconnect a used Night Bag.
Open tap
Diagram 2
Close tap
Diagram 3
Diagram 1
12 13

Using a Night Stand
It is recommended that you use a night stand or bedside
hanger to support the Night Bag in use.
The pre-punched hanger holes on all Great Bear Night Bags
allow for the weight of the bag to be equally supported on a
Night Stand.
There are two Night Stands available for use at home, the
metal 3-in-1 hanger or the Plastic Flat Pack Hanger. Both
are available complimentary to patients registered with our
Nightingale Home Delivery Service (see page 23).
Please Freephone 0800 055 6270 for more information.
Important: Always position the Night Bag on a night stand at a level
below the bladder to ensure optimal drainage
Key Tips for using a Great
Bear Urine Drainage Bag
• Hygiene is of upmost importance when catheterised to prevent
infection. Ensure you wash your hands thoroughly before and after
handling your Great Bear Drainage Bags. If someone else is handling
your Leg or Night Bag, whether that is a Relative, a Carer or Healthcare
Professional, they must wash and dry their hands and wear a clean
pair of gloves.
• Any Great Bear Drainage Bags that are supplied in an individual peel
pouch are sterile. It is important that they remain in their sterile peel
pouch until ready for use. If the packaging is damaged or opened, the
sterility of the product may be compromised and should not be used.
• Libra Leg Bags and the reusable Night Bags can be kept in situ for 5-7
days. These bags should only ever be disconnected from the Catheter
when it needs changing.
• Whilst the graduations on Great Bear Drainage Bags provide a useful
indication, they are approximates only and should not be used to
record accurate urinary output. If an accurate measurement of
volume is required, drain the urine into a clean measuring jug.
• Used Drainage Bags can be disposed of with
household waste. Disposable Black Bags
are available on request through the
Nightingale Home Delivery Service.
Do Not ush your Drainage Bag
down the toilet.
• Keep Drainage Bags out of
the reach of children – small
components could pose a
choking hazard.
14 15

Troubleshooting
Urine won’t drain into my bag?
Firstly, check that the tubing is not kinked. If there are any kinks
in the tubing, straighten them out. A trapped Non Return Valve
(NRV) can also prevent urine draining into the bag. The NRV is the
clear ap of plastic that is located directly behind the Bear print on
the bag. On very ‘rare’ occasions the NRV during sterilisation can
become trapped. Manipulate the NRV by rubbing the front and
back of the bag where the Bear is, this should release the NRV and
allow proper drainage. If this does not work, please contact your
Healthcare Professional.
My bag has turned purple?!
This is a known phenomenon called “Purple Bag Syndrome”.
Bacteria in the urine or certain medications can react with the
bag material and change it blue or purple. The change in colour
is not harmful but we would advise you consult your Healthcare
Professional to rule out infection.
The bag keeps disconnecting from my Catheter?
Disconnection usually occurs when the
connector on the drainage bag has not
been suciently pushed into the
catheter. Ensure the ridged connector
on the drainage bag is pushed in as
far as possible to ensure a secure
connection.
The tap on my bag keeps
catching/ accidentally
opening – what can I do?
The tap on our Libra Leg
Bag and reusable Night
Bags can be rotated 360°
and positioned to prevent
accidental opening.
“It is important to
secure the Catheter
after insertion to
prevent movement &
urethral traction”
(EAUN, 2012).
16 17

Importance of
Catheter Fixation
The Fix It strap is designed to secure Indwelling and Suprapubic
Catheters, as well as Leg Bag tubing with a Sheath System.
Proper securement is essential to prevent urethral trauma,
pain and discomfort.
Do Not let your Catheter or Drainage Bag hang unsupported.
If you are unsure give our customer care team a call who can
arrange for samples of supportive devices to be sent to you
to secure the Catheter in use.
Order Codes
Libra Leg Bag - Prescription
All Prescription Libra Leg Bags come with Fabric Backing and one pair of Leg Bag
Straps as standard
Product Code Capacity Tube Length Quantity PIP Code
10130G 350ml Direct Inlet 10 361-2991
10100A 350ml Short (10cm) 10 335-4354
10131H 500ml Direct Inlet 10 361-3007
10102C 500ml Short (10cm) 10 335-4388
10104E 500ml Long (30cm) 10 335-4370
10105F 500ml Adjustable (45cm) 10 335-4362
10132J 750ml Direct Inlet 10 361-3015
10106G 750ml Short (10cm) 10 335-4347
10108J 750ml Long (30cm) 10 335-4404
10110L 750ml Adjustable (45cm) 10 335-4396
10133K 1000ml Direct Inlet 10 361-3023
10120W 1000ml Long (30cm) 10 342-9453
10122Y 1000ml Adjustable (45cm) 10 342-9461
Libra Conform - Prescription
All Prescription Libra Conform come with Fabric Backing and one pair of Leg Bag
Straps as standard
Product Code Capacity Tube Length Quantity PIP Code
10114Q 500ml Short (10cm) 10 382-4653
10115R 500ml Long (30cm) 10 382-4661
10116S 750ml Short (10cm) 10 382-4679
10117T 750ml Long (30cm) 10 382-4687
Paediatric - Prescription
All Prescription Mummy, Daddy & Baby Bear come with Fabric Backing and one
Leg Bag Strap as standard
Product Code Capacity Tube Length Quantity PIP Code
10101B 150ml Direct Inlet 10 384-8306
10125B 150ml Adjustable (45cm) 10 384-8298
10111M 250ml Direct Inlet 10 384-8314
10135M 250ml Adjustable (45cm) 10 384-8322
10103D 350ml Direct Inlet 10 408-6385
10151D 350ml Adjustable (45cm) 10 408-6393
18 19