Medrad Intego - With RP in the Vial Shield

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Appendix C - Troubleshooting Tips
e. Close the Shielded Chamber Lid.
f. Connect a syringe filled with 40 ml of saline to the free end of the SAS.
g. Manually infuse the 40 ml of saline into the SAS using the syringe to push the RP
dose through the system and into the patient.
h. After the infusion, disconnect the patient from the tubing set.
i. If necessary, remove the SAS and the Multi-Dose Vial from the Shielded Chamber
following the instructions found in the "Remove the Multi-dose Vial and SAS" section.
j. Secure the Intego™ PET Infusion System and contact MEDRAD.
With RP in the Vial Shield
1. Restart the system. If the error condition does not persist, proceed with the infusion as
normal.
2. If the error condition persists after the restart, the RP in the Vial Shield can be used for
hand injection.
WARNING: Radiation exposure hazard.
18
F-FDG or
18
F-NaF emit gamma
radiation. Operator should exercise extreme caution when handling
radiopharmaceuticals. Doses may exceed maximum permissible dose if appropriate
precautions are not properly exercised. Follow all individual facility guidelines for the
handling and disposal of radioactive materials. DO NOT open the Shielded Chamber
without first taking radiation precautions per facility procedures.
Hand Injection Method - Option 1
a. Make certain that the Vial Access Cap is ready to be reinstalled onto the Vial Shield.
b. Open the Shielded Chamber Lid.
c. Using the handle of the Needle Insertion Device, immediately pull the needles
directly out of the Vial Shield. DO NOT raise the shield lid over the Needle Insertion
Device.
WARNING: Puncture hazard. The SAS contains needles. To prevent injury, take
care when handling the SAS to control the needles. Dispose of the needles per
individual facility guidelines.
d. Rotate the Needle Insertion Device counter-clockwise and immediately insert the Vial
Access Cap onto the Vial Shield using the handle.
e. Remove the Vial Shield from the Vial Shield Compartment using the Vial Shield
handle.
f. Rotate the Needle Insertion Device clockwise and lower it into place. Close the
Shielded Chamber Lid.
g. Return the Vial Shield containing the RP directly to the facility hot lab where
individual patient doses can be prepared.
Hand Injection Method - Option 2
a. Remove the PAS from the SAS and discard in the appropriate receptacle.
b. Clean the Swabbable Valve on the exposed end of the SAS using proper sterile
technique.
c. Attach a sterile 10 ml syringe in a syringe shield to the Swabbable Valve.
d. Open the Shielded Chamber Lid.