MEDI NUCLEAR Insta/vent PLUS User manual

Step by Step
Instructions
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

Insta/Vent™Plus Overview
Medi/Nuclear’s Insta/Vent™Plus is a
two tube system that eliminates dead
space and with an expansion bag,
provides more efficient radioaerosol
delivery.
Unidirectional airflow allows for the
radioaerosol particles of 99mTc-DTPA
or an equivalent alternative to be
immediately available upon inhalation.
An airflow control device is used
instead of one way valves thus
eliminating restricted breathing.
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

As a patient inhales, medication from the
nebulizer moves through the top tube and
into the mouthpiece.
When the patient exhales an internal flapper
closes and exhalation is directed through the
bottom tube and into a HEPA filter.
During exhalation, air continues to flow
through the nebulizer into a breathing bag
which acts as a reservoir to store aerosol
that would normally be wasted during
exhalation.
When the next breath is taken, the patient
immediately inhales the aerosol mist that has
filled the top tube and also the aerosol mist
from the breathing bag.
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

•Remove the components from the plastic
bag:
▪Insta/Vent™Plus Assembly (manifold
with attached nebulizer, HEPA filter,
green expansion bag and breathing
tubes with Flow Control and
elbows).
▪Small bag containing Safety Shield™
Mouthpiece, nose clip, and “Caution
Radioactive Material” label.
Note: Retain the re-sealable bag for
disposal of the Insta/Vent™Plus after
the ventilation study.
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Insta/Vent™Plus Assembly
© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

B.
C.
•Unfold the green expansion bag.
•Open the lid of Insta/Vent™shield
and install the Insta/Vent™Plus
manifold.
A. The upper /attached breathing
tube will fit through the slot at
the top.
B. The nebulizer will be
directed into the lead
cylinder and into the silver
oxygen/air pressure port.
C. The HEPA filter will extend
through the exhaust
opening at the bottom.
•Press down firmly so that the
nebulizer is seated completely.
A.
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

•While holding down the
Insta/Vent™Plus manifold inside
the shield, attach the elbow on
the free end of the second
breathing tube, to the HEPA filter.
The HEPA filter can be reached
through the exhaust opening in
the underside of the Insta/Vent™
shield.
•Recheck the manifold to be sure it
is seated firmly in place.
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

•Attach the Safety Shield™Mouthpiece
to the patient port. If desired, an air-
filled face mask (#MN5045) may be used
instead.
•Connect the oxygen tube to the oxygen
inlet connection on the front of the
lnsta/Vent™lead shield. Use only the
provided oxygen tube (#IV-605). Other
oxygen tubes may be slightly over-sized
and could cause oxygen leakage.
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

•Prepare 99mTc-DTPA or an equivalent
alternative in accordance with the
manufacturer’s instructions.
•Using a shielded syringe and needle, inject
40 mCi in 2 mL of 99mTc-DTPA solution
through the center of the grey stopper in
the top of the Insta/Vent™manifold and
into the nebulizer.
•Prior to closing the Insta/Vent™shield,
ensure that the manifold is seated firmly
into the silver oxygen/air pressure port.
•Close the lid of the Insta/Vent™shield.
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

Insta/Vent™Plus Operation
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•Remove the Safety Shield™
Mouthpiece cover by pressing in the
sides and gently pulling out.
•Place the mouthpiece in the patient’s
mouth.
•Place the nose clip on the patient’s
nose, unless using a face mask.
•Prior to turning on the oxygen/air,
instruct the patient to take several
test breaths from the system.
© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

•Gradually turn on the oxygen/air, adjusting the
flow rate to 10-12 liters/minute.
Caution: At normal 50 PSI pressure for the
oxygen/air supply, a sudden increase of flow from
0 to10 liters/minute may blow the air line off of the
Insta/Vent™shield.
•Instruct the patient to breathe normally until
the desired amount of radioactivity is delivered
to the lungs. Breathing time should be
approximately 2 minutes if the assembly
recommendations are followed.
Caution: To prevent possible radiation leakage
into the environment, be prepared throughout the
inhalation period to shut off the oxygen flow
immediately if the patient releases the mouthpiece.
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

•After inhalation, turn off the oxygen/air
and instruct the patient to continue
breathing through the mouthpiece for
additional four or five tidal breaths to clear
the system of aerosol.
•Remove the nose clip and the mouthpiece
from the patient.
•Have the patient expel any saliva into the
cover of the mouthpiece. Attach the cover
to the mouthpiece making sure it seals
securely. Discard the sealed mouthpiece
into the plastic bag.
•Start the patient imaging procedure as
soon as it is convenient. Imaging time
should be approximately one minute for
100-150,000 count images.
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© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

Insta/Vent™Plus Disposal
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•Be sure the oxygen/air supply is off.
•Disconnect the elbow from the bottom of the HEPA
filter.
•Remove the Insta/Vent™shield lid and remove the
used radioaerosol kit from the shield.
•Disconnect oxygen tubing from the oxygen/air source.
Warning: Disconnecting the oxygen line before
removing kit may result in a vacuum sufficient enough to
pull liquid into the oxygen port which could result in
contamination. Please disconnect in the steps shown
above.
© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

•Place the kit in the re-sealable disposal
bag. Remove seal strip from the bag to
expose the unused tape. Seal the bag
securely.
•Quickly attach the radiation label, and
place the kit in a shielded disposal area
to allow for radioactive decay.
•Discard decayed waste according to the
radioactive waste procedures
established by your facility.
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4610 Littlejohn Street, Baldwin Park, CA 91706
© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

Insta/Vent™Ordering Information
Catalog
No.
Product Description Qty/
Units
IV
-600
Insta
/Vent™Radioaerosol Kit,
Single Tube System
24/cs
IV
-600M
Insta
/Vent™Radioaerosol Kit with Mask,
Single Tube System
24/cs
IV
-600P
Insta
/Vent™Radioaerosol
Kit,
Two Tube System
24/cs
IV
-600PM
Insta
/Vent™Radioaerosol Kit
with Mask,
Two Tube System
24/cs
IV
-600V
Insta
/Vent™
Ventilator Kit
for ventilator dependent patients
6/cs
IV
-601A
Insta
/Vent™Portable Lead Shield, Aluminum Each
IV
-605
Oxygen Supply Tube, 7 ft.
3/pk
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4610 Littlejohn Street, Baldwin Park, CA 91706
© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18

For additional information, please contact:
800.321.5981 / 626.960.9822
[e-mail]
www.medinuclear.com
We’re here to be of assistance!
[phone], [phone]
[email protected]
www.medinuclear.com
4610 Littlejohn Street, Baldwin Park, CA 91706
© 2018 Medi/Nuclear® Corporation, Inc.
All Rights Reserved Rev 07/02/18