Nursing Instructions for the Tru-Close® Suction Drainage System

TCS Drainage System for Post Surgical Abscesses, and Ascites Drainages

TCS Drainage System Configurations

Available in capacity sizes of Available in capacity sizes of 1000ML, 500ML and 300ML1000ML, 500ML and 300ML

Sizes with drain port include Sizes with drain port include the TCS300D and the the TCS300D and the TCS500DTCS500D

All have 25” silicone drain All have 25” silicone drain tube which can be adjusted in tube which can be adjusted in length by cutting the tube at length by cutting the tube at the point where it connects to the point where it connects to the bag and then re-attachingthe bag and then re-attaching

Vacuum level for the TCS300D Vacuum level for the TCS300D is 4.5 psi (230 mm Hg)is 4.5 psi (230 mm Hg)

Vacuum level for the TCS500, Vacuum level for the TCS500, TCS1000 and TCS500D is 2 psi TCS1000 and TCS500D is 2 psi (103 mm hg)(103 mm hg)

Flush Adapter (AFA-01)

The AFA-01 Flush Adapter is sold The AFA-01 Flush Adapter is sold separately and is to be used when separately and is to be used when flushing of the catheter is requiredflushing of the catheter is required

It has a tube clamp for injection or It has a tube clamp for injection or aspiration of the catheter and to aspiration of the catheter and to prevent solution from refluxing prevent solution from refluxing

The needleless, swabable port The needleless, swabable port allows for injection of flushing allows for injection of flushing solutions and aspiration solutions and aspiration

The device comes with a standard The device comes with a standard Luer Lock fitting and a large bore Luer Lock fitting and a large bore adapter for the ULTI-flo system adapter for the ULTI-flo system

To attach the Flush Adapter (AFA-To attach the Flush Adapter (AFA-01) remove the Luer Lock 01) remove the Luer Lock connector from the bag tubing and connector from the bag tubing and replace it with the tapered replace it with the tapered connector on the end of AFA-01 connector on the end of AFA-01

Using the TCS Drainage Bags

Designed for “closed wound Designed for “closed wound drainage”drainage”

Equipped with a standard Luer Equipped with a standard Luer Lock connector to fit all brands of Lock connector to fit all brands of percutaneous drainage catheterspercutaneous drainage catheters

If catheter is to be flushed it is If catheter is to be flushed it is recommended that a stopcock or recommended that a stopcock or the UreSil Flush Adapter (AFA-01) the UreSil Flush Adapter (AFA-01) be attached to the distal end of be attached to the distal end of the tubing prior to hooking the the tubing prior to hooking the bag to the catheterbag to the catheter

Vacuum is activated by Vacuum is activated by compressing the bellows at the compressing the bellows at the top of the bagtop of the bag

When the bellows is released the When the bellows is released the fluid will fill the bellows fluid will fill the bellows

Using the TCS Drainage Bags(cont.)

To reactivate the vacuum depress To reactivate the vacuum depress the bellowsthe bellows

The fluid in the bellows will be The fluid in the bellows will be forced into the bag forced into the bag

Dual anti-reflux valves prevent Dual anti-reflux valves prevent fluid from going up the tubing and fluid from going up the tubing and back into the catheterback into the catheter

The TCS bags will revert to gravity The TCS bags will revert to gravity flow if the bellows is full; for gravity flow if the bellows is full; for gravity drain ensure the bag is below the drain ensure the bag is below the level of the point being drainedlevel of the point being drained

Two vents at the top of the bag will Two vents at the top of the bag will prevent air buildup in the bag; you prevent air buildup in the bag; you do not have to force air from the do not have to force air from the bagbag

Only the TCS500D and TCS300D Only the TCS500D and TCS300D can be emptied without detaching can be emptied without detaching the bag from the catheter the bag from the catheter

Managing the Patient

To maintain the integrity of the closed To maintain the integrity of the closed system ensure an appropriate flushing system ensure an appropriate flushing apparatus (stopcock or AFA-01) is in apparatus (stopcock or AFA-01) is in place prior to attaching the tube to a place prior to attaching the tube to a catheter catheter

Attach the bag to the patient’s garment Attach the bag to the patient’s garment using the clamp secured to the Velcro using the clamp secured to the Velcro strap at the top of the bellows housingstrap at the top of the bellows housing

Do not attach the unit to the drop rail on Do not attach the unit to the drop rail on the bed, attach it to the beddingthe bed, attach it to the bedding

Instruct the patient on the operation of Instruct the patient on the operation of the TCS so they activate the bellows as the TCS so they activate the bellows as neededneeded

Drainage and critical measurements Drainage and critical measurements (marks on the bag are for reference only) (marks on the bag are for reference only) can be taken from the drain port without can be taken from the drain port without disturbing the patient; close the drain disturbing the patient; close the drain after useafter use

The TCS1000 and TCS500 cannot beThe TCS1000 and TCS500 cannot be draineddrained

Conclusion

When using the Tru-Close Suction Drainage System always When using the Tru-Close Suction Drainage System always refer to the IFU contained in the product package.refer to the IFU contained in the product package.

If you have technical questions relating to the Tru-Close Suction If you have technical questions relating to the Tru-Close Suction System please contact UreSil Customer Service at System please contact UreSil Customer Service at

(800) 538-7374.(800) 538-7374.

Thank YouThank You