baxter DUPLOSPRAY User Manual

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.
b

baxter DUPLOSPRAY Specifications

General

Brand	baxter
Model	DUPLOSPRAY
Category	Medical Equipment
Language	English

Summary

DUPLOSPRAY MIS Regulator Setup

Position DUPLOSPRAY System

Position DUPLOSPRAY System so the foot pedal is placed next to the surgeon's foot.

Attach Gas Supply Hose

Attach gas supply hose to the source of medical grade CO₂.

Attach Spray Set to Regulator

Connect the blue vent line filter and clear gas line filter to the regulator.

Adjust Gas Flow Rate

Depress foot pedal, adjust gas flow rate to 1.0-2.0 L/min, check flow gauge.

DUPLOSPRAY MIS Applicator Setup

Prepare Applicator Tip

Thread sterile replaceable tip onto applicator using the tip alignment tool.

Attach Applicator to Syringe

Firmly attach the applicator to the nozzles of the double syringe.

Secure Applicator

Fasten the pull strap to the double syringe holder to assure the spray applicator is tightly secured.

Connect Gas Supply Line

Attach gas supply line to sterile applicator and turn white locking collar to secure.

Pass Assembly to Surgeon

Pass assembled double syringe and spray applicator to surgeon for application.

Connect Patient Vent Line

Attach patient vent line to trocar vent valve, ensure vent valve is fully open.

Surgeon's Spray Application Procedure

Confirm Gas Flow

Confirm actual flow of max 2 litres/min with theatre personnel.

Depress Foot Pedal and Check Gauge

Depress foot pedal to start gas flow before applying TISSEEL. Check gas flow gauge.

Dispense TISSEEL Fibrin Sealant

Dispense TISSEEL by depressing syringe plungers slowly. Hold pedal 3-5s after to clear tip.

Important Tips for Spray Application

Advice on vent line use, clearing occluded tips, and twin-tube assembly separation.

DUPLOSPRAY Quick Reference Guide - Safety and Recommendations

Caution Box: Pressurised Gas Risks

Warning about potential risks of air/gas embolism, tissue rupture with pressurised gas.

TISSEEL Spray Application Recommendations

Recommendations for pressure, distance, and devices for TISSEEL spray application.

TISSEEL Prescribing Information Summary

Summary of TISSEEL indications, dosage, side effects, precautions, and contraindications.