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Kiwi ProCup VAC-6000S User Manual

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INSTRUCTIONS FOR USE
VAC-6000S
Complete Vacuum Delivery System
with PalmPump
TM
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Kiwi ProCup VAC-6000S Specifications

General IconGeneral
CategoryMedical Equipment
ModelVAC-6000S
BrandKiwi ProCup
Collection Bottle Capacity1000 ml
Warranty1 year
Suction Pressure600 mmHg
Power SourceAC 100-240V, 50/60Hz

Summary

Indications for Vacuum Assisted Delivery

Standard Vacuum Assisted Delivery

Use for vacuum assisted fetal delivery in conditions of failure to deliver spontaneously, prolonged second stage, presumed fetal jeopardy, or elective shortening.

Trial of Vacuum Assisted Delivery

Vacuum delivery as a trial for borderline fetopelvic relationships or mid-pelvic delivery with more than mild fetal jeopardy.

Contraindications, Precautions, and Adverse Events

Contraindications

Contraindications include inadequate fetopelvic relationships, unengaged presenting part, non-vertex presentations, non-ruptured membranes, incomplete dilation.

Precautions and Close Observations

Follow ACOG advice, abandon if no progress. Monitor conditions like low gestational age, scalp damage, or suspected macrosomia.

Adverse Events

Fetal injuries include hematomas, hemorrhages, nerve injuries, jaundice, bruises, contusions, lacerations, fractures. Maternal injuries include soft tissue injuries, episiotomy extensions.

Critical Warnings

Use only by trained operators. Apply carefully. Never apply to face/ear or exceed limits.

Device Components Description

PalmPump

The PalmPump controls vacuum safely and effectively, offering a simple hand pump with release valve, indicator, and ergonomic handle.

ProCup

The ProCup is for outlet and low occiput anterior presentations, its flexible cup molds to the fetal head for increased contact.

ProCup Application Guidelines

Suitable Positions for ProCup

ProCup is suitable for occipitoanterior positions with flexion point near the introitus, maneuverability is limited by the rigid stem.

Unsuitable Positions for ProCup

ProCup is not suitable for midcavity occipitoposterior or deflexed occipitolateral positions due to flexion point location.

Cup Insertion Procedure

Initial Preparation and Placement

Perform vaginal exam, retract perineum, insert cup gently, and slightly rotate to unfold edges.

Positioning and Seal Check

Maneuver cup to flexion point, check for trapped tissue/electrode, and initiate seal with initial vacuum.

Final Verification

Re-examine for trapped maternal tissue and reapply cup if necessary before proceeding.

Vaginal Delivery Procedure

Operator Positioning and Traction Basics

Operator positions to assist descent. Raise vacuum to 450-600 mm Hg, press against dome, and monitor head descent.

Traction Technique and Warnings

Apply traction in pelvic axis, perpendicular to cup. Avoid side-to-side movements. Discontinue if hiss is heard.

Delivery Progress and Immediate Actions

Expected Progress During Traction

First pull causes flexion/descent. Second pull should place head on pelvic floor. Third pull should complete or make delivery imminent.

Mandatory Warnings

Do not twist, torque, or use excessive force. Do not reapply if cup has popped-off two times.

Delivery Steps

Release vacuum with button after head delivery. Ease cup off scalp. Complete birth normally.

Post-Delivery Care and Disposal

Baby Head Examination

Examine baby's head for scalp injury and note cup application site. Reassure parents about chignon and marks.

Disposal

Discard the device using the appropriate procedure after use.

Symbols Glossary

Manufacturer and Date Symbols

Symbols indicating device manufacturer, build date, and use-by date.

Usage and Safety Symbols

Symbols for lot code, EC representative, catalog number, sterility, instructions, compromised packaging, prescription use, and general warnings.

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