DUPLOSPRAY Quick Reference Guide (laparoscopic procedures)
Instructions for Circulating Nurse | DUPLOSPRAY MIS Regulator
Position DUPLOSPRAY System so
the foot pedal is placed next to the
surgeon’s foot at time of application.
1
Attach gas supply hose, located
at back of regulator, to source of
medical grade CO
2
.
2
Attach spray set to regulator. Connect
the blue vent line filter to the blue female
luer and the clear gas line filter to the
male luer on the regulator.
3
While depressing foot pedal, adjust gas
flow rate to 1.0-2.0 litres per minute.
Check gas flow by noting height of ball in
flow gauge while stepping on foot pedal.
4
Instructions for Scrub Nurse | DUPLOSPRAY MIS Applicator
Thread sterile replaceable tip onto
applicator using tip alignment tool.
1
Firmly attach the applicator to the
nozzles of the double syringe.
2
Fasten the pull strap to the double
syringe holder to assure the spray
applicator is tightly secured.
3
Attach gas supply line (clear luer
connector) to sterile applicator.
Turn white locking collar to secure
connection.
4
Pass assembled double syringe and
spray applicator to surgeon for spray
application.
5
Attach patient vent line (red luer
connector) to available female luer on
trocar vent valve. Ensure vent valve is
fully open.
6
Instructions for Surgeon
Confirm actual flow of max
2 litres/min with theatre personnel.
1
Depress foot pedal to start gas flow
prior to applying TISSEEL Fibrin Sealant.
Check gas flow gauge on regulator
before inserting applicator. If flow level
ball does not move when foot pedal is
depressed, the applicator tip is occluded
and should be replaced.
2
While activating foot pedal dispense
TISSEEL Fibrin Sealant through
applicator tip by depressing double
syringe plungers using very slow, steady
pressure. To stop spray delivery release
pressure on plungers while maintaining
gas flow by holding down foot pedal
for an additional 3-5 seconds to clear
applicator tip.
3
The use of TISSEEL Fibrin Sealant is restricted to experienced surgeons who have been trained in the use of TISSEEL.
In order to ensure optimal safe use of TISSEEL by spray application, apply a minimum spray distance of 2 cm and a
maximum spray pressure of 1.5 bar (22 psi/maximum gas flow rate 2.0 litres per minute) to minimise the potential risk
of air or gas embolism, tissue rupture, or air or gas entrapment with compression.
TIPS
• The patient vent line attached to the trocar cannula vent valve will only vent gas out when foot pedal is depressed.
After connection to trocar cannula, ensure vent valve is fully open on trocar cannula prior to spray application.
• If tip becomes occluded during use, remove plugged tip by unscrewing it counterclockwise. Using a sterile cloth,
wipe any clotted material off exposed tube ends. Screw on new tip and tighten with finger pressure.
• The twin-tube assembly can be easily separated as necessary to allow freedom of movement.
Please see the TISSEEL SmPC provided together with this material.
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