… with people in mind

RECOMMENDED PROTOCOL FOR USE

FLOWTRON® UNIVERSALINTERMITTENTPNEUMATICCOMPRESSIONSYSTEM

I RECOMMENDED PROTOCOL FOR USE

General recommendations:• Garmentsshouldberemovedregularlytoinspect

the skin

• Whereappropriatepatientsshouldbeinstructedin the proper use of the system, the purpose of therapy and that any problems should be reported to the nursing staff

DVT prophylaxis:• TheFlowtron Universal system should be applied to

the patient pre-operatively, prior to the induction of anaesthesia

• Thesystemshouldbeusedcontinuouslyfornolessthan72hourspost-operativelyoruntilthepatientbecomes fully ambulatory

• Ifthegarmentcannotbeappliedtotheoperativelimbduring surgery, it may be applied to the limb once the patient reaches the recovery unit

• Inthenon-surgicalpatientthesystemshouldbeinitiatedimmediatelytheriskofDVTformationisidentified

Recommendations

Enhancement of circulation and reduction of oedema:• Foracuteconditionsthefootgarmentsshouldbe

used until the condition is resolved

• Forchronicconditionsuseshouldbedeterminedbythe physician based on the severity of the patient’s condition and response to therapy

Treatment of leg ulcers:• Ongoinguseofthefootgarmentsisrecommended

• Treatmentshouldbebasedupontheaetiologyoftheulcer, the patient’s condition and response to therapy

• Oncetheulcerhashealed,aplanofcaretopreventrecurrence should be established. This may include the continued use of the foot garments on a daily basis

Management of pain associated with trauma or surgery:• Continuoususeofthefootgarmentsisrecommended

Reduction of compartment pressures:• Continuoususeofthefootgarmentsisrecommended

together with careful monitoring of compartment pressures

Purpose

The Flowtron® Universal Intermittent Pneumatic CompressionSystemprovidesclinicallyeffective,non-invasive mechanical compression for the prophylaxis of DeepVeinThrombosis(DVT).

The system is designed to be used with:

• DVT10andDVT20CalfGarments

• DVT60Bariatric Fit™CalfGarments

• DVT30andDVT40ThighGarments

• FG100andFG200FootCompressionGarments.

When used with the foot garments, the system can also be used as part of the treatment regimen for venous or arterial conditions of the lower limb (see Indications).

Indications

All garments:

• PreventionofDVT:

– Pre-, intra- and post-phases of surgery

– When the use of anticoagulant therapy is contraindicated

– As an adjunct modality with other methods of DVTprophylaxis( e.g.anticoagulants,Anti Embolic stockings ) for high risk patients

– Periods of prolonged immobility

– Paralysed limbs

• Preventionofvenousstasis

Foot garments only:

• Enhancementofvenousandarterialcirculation

• Reductionofacuteandchronicoedema

• Assistanceinthehealingofcutaneousulcersincludingvenous ulcers

• Reductionoflowerlimbpainduetotraumaorsurgery

• Reductionofcompartmentpressures

RECOMMENDED PROTOCOL FOR USE I

Inflation Inflation Garment Type/ Pressure Hold Cycle LCD Display (mmHg) (seconds) (seconds)

Footgarments 130 3 30 e.g.,FG100-200

Singlechamber 40 12.5 60 garments e.g.,DVT10-40,60

Contraindications

The Flowtron Universal system should not be used in the following conditions:

• Severearteriosclerosisorotherischaemicvasculardiseases

• KnownorsuspectedacuteDVTorphlebitis

• Severecongestivecardiacfailureoranyconditionwhere an increase of fluid to the heart may be detrimental

• Pulmonaryembolism

• Anylocalconditioninwhichthegarmentswouldinterfere, including gangrene, recent skin graft, dermatitis or untreated, infected leg wounds

If you are unsure of any contraindications refer to the patient’s physician before using the device.

Cautions

• Garmentsshouldberemovedimmediatelyifthepatient experiences tingling, numbness or pain

• WhenusedforDVTprophylaxiscontinuoususeisrecommended and any interruption of therapy for a substantial length of time should be at the discretion of the physician

• Patientsshouldbeinstructednottostandorwalkwiththe foot garments on

These are guidelines only and should not replace clinical judgement and experience.

Operating Instructions

1. Plug the pump into an electrical outlet. The pump will first go through a self-test routine and then remain in ‘standby’ until required for use.

2. ApplytheprescribedArjoHuntleighgarmentstothepatient by carefully following the instructions included in the garment packaging.

3. Connectthegarmentstothepumphosesetensuringthe connectors click into place.

4. Checkthattheconnectionandgarmenttypeareconfirmed correctly on the display (see table below).

5. TOSTART,pressandholdthegreenRUN button on the pump. The green power indicators will illuminate and therapy will begin.

6. TOSTOP,pressandholdthegreenRUNbuttona second time. The green power indicators will go out and therapy will stop.

7. FORSINGLELEGUSE:Whenthepumpisinstandby,connect one garment to either pump hose connector. The display will confirm that only one garment is connected.Startthepumpasdescribedinpoint5.

8. Refer to the Flowtron Universal system user manual for complete information on the use of the system, including using the optional battery pack, altering the alarm volume, accessing the patient hours meter and using different garment types on each limb.

9. Typical garment options and therapy parameters are shown below.

Typical garment options and therapy parameters

I RECOMMENDED PROTOCOL FOR USE

Troubleshooting

The Flowtron Universal pump features both an audible and a visual alarm. If a problem occurs the system will sense the fault and flash a message on the display.

If the same fault continues for ten successive inflations the audible alarm will sound and a flashing message will remain on the display until corrective action is completed. The exception to this is an ”F” fault which will alarm immediately.

Alarm Cancel

After a fault has been corrected, the alarm can be cancelled by two methods:

1. Press the RUN button twice, or until the green power indicators are lit and the pump is running.

2. With the exception of a pump failure ( ), correct the fault and allow the pump to run until it senses a normal inflation. It will then reset itself.

Cleaning Instructions

Pump:

• Cleanthepumpusingasoftclothdampenedwithamild detergent

• DisinfectaftercleaningusingNaDCCsolution1000ppm or an EPA-approved, hospital grade disinfectant

• Hypocarbonateandphenolicbasedcleaningsolutionsshould not be used

• Thepumpcannotbesterilised

Garments:

• ThegarmentsareSingle Patient Use

• Cleaningandreuseofthegarmentsisnotrecommended

DVTPFU020GBINT0

… with people in mind

Therapy & Prevention Product Division310-312DallowRoad,Luton,Bedfordshire,LU11TD,UnitedKingdomT:+44(0)1582413104F:+44(0)1582459100W:www.ArjoHuntleigh.com

©ArjoHuntleigh2006

MEMBEROFTHEGETINGEGROUP

ArjoHuntleighisabranchofArjoLtdMedAB

®and™aretrademarksbelongingtotheArjoHuntleighgroupofcompanies

As our policy is one of continuous improvement, we reserve the right to modify designs without prior notice.

LCD Corrective Display Problem Action

Garment Garment CheckGarment Leak Leak andreplaceiffaulty

Garment Garment Checkand disconnected disconnected reconnect

Foot garment has Garment comeoffpatient Re-applyfoot loosened during use garment to patient

Pumphose Checkpump kinked causing hoses for kinks Tube kinked a blocked tube and obstructions

Donotusepump Pump fault Pump failure Refer to service