Patient Guide - MoblVac® portable wound care pump with
Contents
1. M 6 OPERATION 8 Operating the IMablVac E dte t aded pe tl ve tete o i a te po K AERE 8 Cl uM X M 9 Disabling Sleep Mode aor DERVE TEYI Ve KESR SAYEY CARN 10 Monitoring E EE E VE EE A A EE E 11 PATIENT USER GUIDELINES 12 Indications for Negative Pressure Wound Therapy 68 5 12 Contraindications eese teet kenek eekek Wound Dressing Kit Instructions for Use TROUBLESHOOTING Missae lm 18 REFERENCES 20 Part No 1176092 3 Invacare MoblVac 3 GENERAL 3 General 3 Symbols Warnings Signal words are used in this manual and apply to hazards or unsafe practices which could result in personal injury or property damage See the information below for definitions of the signal words DANGER Danger indicates an imminently hazardous situation which if not avoided will result in death or serious injury A WARNING Warning indicates a potentially hazardous situation which if not avoided could result in death or serious injury CAUTION Caution indicates a potentially hazardous situation which if not avoided may result in property damage or minor injury2. Invacare MoblVac Negative Pressure Wound Therapy NPWT Patient Guide Manufactured by CC Ohio Medical Corporation 1111 Lakeside Dr Gurnee IL 60031 Yes you can Important Contact Information Your nurse s name Your nurse s number Your doctor s name Your doctor s number Distributor information Technical Clinical Hotline toll free 866 985 NPWT 6798 Product Number Product Serial Number 9 2011 Invacare Corporation All rights reserved Republication duplication or modification in whole or in part is prohibited without prior written permission from Invacare Trademarks are identified by and 9 All trademarks are owned by or licensed to Invacare Corporation or its subsidiaries unless otherwise noted Kerlix AMD and Covidien are trademarks of Covidien AG or its affiliate COUMADIN is a registered trademark of Bristol Myers Squibb LOVENOX is a registered trademark of Sanofi Aventis Corp Plavix isa registered trademark of Sanofi Aventis Corp and the Bristol Myers Squibb Sanofi Pharmaceuticals Partnership MoblVac and Ohio Medical Corporation are registered trademarks and TruSeal is a trademark of Ohio Medical Corporation Invacare MoblVac 2 Part No 1176092 GENERAL 4 SyiTIDO qme E M 4 OVERVIEW 5 p UR 5 GENERAL GUIDELINES 6 General Guidelines e nnn
3. 6 4 Monitoring Periodically Check Ensure that vacuum is being applied to the wound e Check that the battery is charged Thecanister should be changed at least once a week or when 2 3 full Excessively frequent canister replacement may be a sign of excessive bleeding Dispose of used canisters in accordance with local ordinances regarding disposal of potentially infected or biohazard materials Do not open canister Ensure that all previous dressing materials are removed prior to new dressing application Do not block the vents on the battery cover Part No 1176092 Invacare MoblVac 7 PATIENT USER GUIDELINES 7 Patient User Guidelines 7 1 Indications for Negative Pressure Wound Therapy The MoblVac NPWT pump is an AC DC powered portable aspirator that provides negative pressure for the application of wound drainage Negative Pressure Wound Therapy has been used with many types of wounds including 7 2 A pressure ulcers chronic wounds acute wounds surgical wounds neuropathic and diabetic wounds Contraindications WARNING ALWAYS consult the patient s physician before using the MoblVac system explored enterocutaneous fistulas leg ulcers traumatic wounds fasciotomy wounds from compartment syndrome The NPWT pump should not be used under the following conditions necrotic tissue with eschar present untreated osteomyelitis non enteric or unexplored fistulas malignancy in w
4. Defibrillation Patient size and weight Use near vagus nerve bradycardia such as neck or anorectal wounds where the vagus nerve may be exposed Circumferential dressing application in an extremity Mode of therapy intermittent versus continuous negative pressure Position the device and tubing to avoid a tripping hazard and to avoid the patient lying on the tubing or otherwise pulling it from the wound site which could cause additional wounds DO NOT apply skin prep wipes directly onto open wounds Take extra precaution to ensure a sterile environment when is used on patients who are immuno suppressed such as patients with HIV undergoing chemotherapy with transplants or on certain medications or patients who are colonized with exotic organisms 7 3 Wound Dressing Kit Instructions for Use A WARNING Dressing changes should be done by qualified healthcare professionals Prior to application of this dressing kit it is the responsibility of the medical professional to properly assess the wound and to ensure that the proper course of treatment is being followed l Irrigate the wound bed thoroughly with normal saline and pat surface dry Invacare MoblVac 14 Part 1176092 7 PATIENT USER GUIDELINES Prep Apply skin prep to any exposed skin that will be covered by the transparent film 2 Allow to dry 3 For heavy draining wounds or macerated wounds apply a window frame of transparent film about the wound edge
5. or both IMPORTANT Indicates a hazardous situation that could result in damage to property if it is not avoided Gives useful tips recommendations and information for efficient trouble free use Invacare MoblVac 4 Part No 1176092 4 OVERVIEW 4 Overview 4 Introduction This guide is designed for patients and their caregivers while under Negative Pressure Wound Therapy NPWT with the Invacare MoblVac pump Keep this guide in a safe place with other healthcare documents This guide covers e Information on indications for use of the MoblVac system e Contraindications to product use Warnings and precautions for safe and effective use of the MoblVac General operation of the MoblVac system What is Negative Pressure Wound Therapy NPWT 3 9 NPWT is a technique for wound closure that uses a vacuum source to create a lower pressure in the wound The MoblVac is a NPWT system that is used in hospitals nursing homes and at home to help promote wound healing The MoblVac is applied to your wound to draw out excess fluid help protect against outside contaminants and help improve blood flow which ultimately helps in promoting healing How Long to Use Negative Pressure Wound Therapy NPWT Your healthcare professional will determine how long you need NPWT therapy and when to stop therapy when they assess your wound at each dressing change Mobility Your healthcare professional will discuss moving around while un
6. to assist in sealing Dress Il Cut one non adherent layer to the approximate size of the wound Put this layer across the bottom of the wound bed Cut the drain to the appropriate size for the wound area and place into wound Sm UD Ensure that the drain does not extend beyond the wound bed A CAUTION Do not place drain into an unexplored wound Open the gauze dressing pack and moisten with normal saline 9 Lightly fill the gauze into the wound to completely cover the drain 7 Fill the recessed area to skin level A CAUTION Ensure that the gauze is properly moistened with normal saline before sealing the wound Ensure that the moistened gauze does not extend to the healthy tissue around the wound called the periwound area Seal Where the drain tube exits the wound place a strip of paste beneath the tube Cut transparent film or select appropriate size to allow at least one inch of intact skin beyond wound edges Place transparent film over gauze filled wound Sea Squeeze dressing into place over tube and paste to create an airtight seal Part No 1176092 15 Invacare MoblVac 7 PATIENT USER GUIDELINES If patient is sensitive to adhesives discuss with your healthcare provider A substitute for the paste such as thin hydrocolloid may be suitable Window frame the hydrocolloid on the periwound area Allow the transparent film to lie on the hydrocolloid border Begin Wound Drainage Connect
7. 2 Webb LX Perspectives on modern orthopaedics new techniques in wound management vacuum assisted wound closure J Am Acad Orthop Surg 2002 10 303 31 1 Alvarez AA Maxwell GL Rodriguez GC Vacuum assisted closure for cutaneous gastrointestinal fistula management Gynecol Oncol 2001 80 413 416 Garner GB Ware DN Cocanour CS et al Vacuum assisted wound closure provides early fascial reapproximation in trauma patients with open abdomens Am Surg 2001 182 630 638 Miller PR Thompson JT Faler BJ et al Late fascial closure in lieu of ventral hernia the next step in open abdomen management Trauma 2002 53 843 849 Long Blevins A Options in Negative Pressure Wound Therapy J Wound Ostomy Continence Nurs 2009 36 2 202 21 1 Invacare MoblVac 20 Part No 1176092 NOTES NOTES Part No 1176092 21 Invacare MoblVac NOTES NOTES Invacare MoblVac 22 Part No 1176092 NOTES NOTES Part No 1176092 23 Invacare MoblVac Part No 1176092 Rev A 12 11 Invacare Corporation USA Manufactured by One Invacare Way Ohio Medical Corporation Elyria Ohio USA Lakeside Dr Gurnee IL 44036 2125 60031 MoblVac Technical Clinical Hotline 866 985 NPWT 6798 www MoblVacNPWT com Yes you can
8. Technical Clinical Hotline 866 985 6798 PROBLEM Pump does not turn on when the power switch is depressed Battery is not charged 2 Defective unit SOLUTION 1 Charge battery 2 Call MoblVac Technical Clinical Hotline at 866 985 6798 for assistance Leak alarm continues to sound Improper tubing connection or leak in the patient dressing 1 Check all patient vacuum connections to ensure they are air tight and that the tubing is connected properly to the collec tion canister Apply additional ostomy paste around edge of dressing to reseal Invacare MoblVac 2 Canister is not sealed properly to housing 2 Firmly press on the canister in a downward motion while the pump is running to ensure a proper seal 3 Dirt or contaminate on the collection canister seal 3 Press the PAUSE button and remove the collection canis ter Visually inspect the sealing area on the canister and the housing and remove any debris or contaminate that is com promising the seal Replace canister and restart 4 Canister is cracked or defective 4 Replace collection canister 5 Defective unit 5 Call MoblVac Technical Clinical Hotline at 866 985 NPWT 6798 for assistance Part No 1176092 PROBLEM 8 TROUBLESHOOTING SOLUTION Canister alarm continues to sound Unit is not completely upright causing fluid to prematurely sound alarm 1 Uni
9. ak is present dressing changes should occur 2 3 times per week Some wounds may require more frequent dressing changes A CAUTION Dressings should be checked at regular intervals In the event of heavy drainage or drainage with sediment more frequent dressing changes may be needed Infected wounds may require more frequent dressing changes Consult with your healthcare professional in determining dressing changes Ensure that all previous dressing materials are removed prior to new dressing application Washing and Showering CAUTION AN DO NOT use the MoblVac while washing or near water DO NOT submerge Disconnect the tubing from the MoblVac therapy unit before showering or washing to avoid damage to the unit The clear dressing which covers the wound is water resistant but you should avoid submerging the dressing in water Reconnect the tubing to the MoblVac unit as soon as you have finished washing and turn on the unit Refer to Operating the MoblVac on page 8 Dressing in Place without MoblVac Therapy If MoblVac Negative Pressure Wound Therapy is interrupted the dressing may be left in place up to 72 hours from the initial application of that dressing according to clinical documentation from the gauze dressing manufacturer Kerlix AMD antimicrobial gauze by Covidien Part No 1176092 17 Invacare MoblVac 8 TROUBLESHOOTING 8 Troubleshooting 8 1 Troubleshooting For additional information please contact MoblVac
10. ccessories designed by other manufacturers have not been tested by Invacare and are not recommended for use with Invacare products NOTICE THE INFORMATION CONTAINED IN THIS DOCUMENT IS SUBJECT TO CHANGE WITHOUT NOTICE Check all parts for shipping damage and test before using In case of damage DO NOT use Contact Invacare Carrier for further instruction This product is a medical device and sale is restricted to or by order of a physician This device must only be used for the person for whom it was ordered and only for the use for which it was intended Invacare MoblVac 6 Part No 1176092 5 GENERAL GUIDELINES WARNING Monitor patient for excessive bleeding which may result in serious injury or death If sudden or increased bleeding is observed immediately stop therapy and seek medical attention This device is to be used by or under the care of trained medical personnel only Do not use this or any electrical device in an explosive or flammable environment or in the presence of flammable anesthetics Infected wounds may require more frequent dressing changes Constantly monitor wounds for signs of infection Negative pressure wound therapy INPWT is not approved for use on children Part No 1176092 7 Invacare MoblVac 6 OPERATION 6 Operation WARNING Pressure settings should not be changed by a patient unless directed by a qualified healthcare professional Operate unit only at physician prescribed pressure sett
11. der Negative Pressure Wound Therapy based on your wound and health situation For patients who are told they can move around the MoblVac can be operated on battery power and can be carried with an accessory carrying bag Electric or Battery Use The MoblVac is powered by electricity when it is plugged into an electric outlet Use the MoblVac plugged into an electric outlet whenever possible The battery charges when the unit is plugged into an electric outlet Battery life is approximately 12 hours if battery is fully charged and dressing has a good seal The battery powers the MoblVac whenever the unit is turned on and the power cord is unplugged from electric outlet Part No 1176092 5 Invacare MoblVac 5 GENERAL GUIDELINES 5 General Guidelines 5 1 General Guidelines WARNING DO NOT use this product or any available optional equipment without first completely reading and understanding these instructions and any additional instructional material such as owner s manuals service manuals or instruction sheets supplied with this product or optional equipment If you are unable to understand the warnings cautions or instructions contact a healthcare professional Invacare Representative or technical personnel before attempting to use this equipment otherwise injury or damage may occur ACCESSORIES WARNINGS Invacare products are specifically designed and manufactured for use in conjunction with Invacare accessories A
12. ings 61 Operating the MoblVac Il Remove the collection canister from its packaging 2 Firmly press the canister into place Ensure the latch is firmly extended over the top of the canister Connect the extension tubing to the opening on the top of the collection canister 1 Press down on the button on the front control panel of the unit The green light should now be on 5 Two types of therapy can be applied Press the button on the control panel under the word CONTINUOUS if you have been told to apply continuous therapy Press the button under the word INTERMITTENT if you have been told to apply intermittent therapy The digital gauge portion of the display will read 25 mmHg This is the pressure level Increase the pressure to 75 mmHg or the level you have been instructed by the physician by pressing the button on the control panel beneath the word INCREASE The display will increase by 25 mmHg each time you press this button 8 When therapy is complete press the button to turn the unit off 9 Disconnect the unit from patient Refer to instructions on the back of the MoblVac unit For more information call 866 985 6798 for the user manual How do know if the MoblVac is working The green light above the button shows that the MoblVac is working The control panel of the MoblVac therapy unit will go into sleep mode to conserve energy Sleep mode will cause the screen to fade g
13. ontrol panel constantly illuminated To disable the sleep mode follow these steps i Press the OPTIONS button ii Press the SLEEP OFF button The text above the button will change to SLEEP ON indicating sleep mode is turned off The screen will remain illuminated iii Press the RETURN button to return to the vacuum level screen sleep mode can be turned on again perform the following Press the OPTIONS button Press the SLEEP ON button The text above the button will change to SLEEP OFF indicating sleep mode is turned on E ww pP S Press the RETURN button to return to the vacuum level screen It is recommended to only disable the sleep mode when the unit is plugged into wall power The battery will drain very quickly with sleep mode disabled Invacare MoblVac 10 1176092 6 OPERATION WARNING Complications Call your healthcare provider immediately if there is A change in the color or amount of fluid in the canister The canister fills quickly with blood The dressing leaks fluid or fails to seal If the wound smells bad If the wound gets worse e If you experience increased pain or discomfort This may indicate excessive bleeding which may cause serious injury or death If there is excessive bleeding stop therapy immediately Call 911 or local emergency number and take emergency measures to control bleeding This may indicate an infection
14. ound exposed vasculature exposed nerves exposed anastomotic site exposed organs Invacare MoblVac 12 Part 1176092 7 PATIENT USER GUIDELINES WARNING Precautions Patient Risk Factors Characteristics to consider before NPWT use The following is a list of health factors that your health care provider has been advised to consider before prescribing use of the MoblVac as part of your medical treatment If you have any questions or concerns about these risk factors consult with your health care professional Patients at high risk for bleeding and hemorrhage Patients on anticoagulants or platelet aggregation inhibitors common types of blood thinners anti platelets include but are not limited to COUMADIN warfarin heparin LOVENOX aspirin Plavix etc as excessive bleeding may occur If you are unsure please check with your physician Always advise your physician of all medications you are taking This includes both prescription medicines and those you buy over the counter Patients with Friable vessels and infected blood vessels Vascular anastomosis Infected wounds Osteomyelitis Exposed organs vessels nerves tendon and ligaments Sharp edges in the wound i e bone fragments Spinal cord injury stimulation of sympathetic nervous system Enteric fistulas Part No 1176092 13 Invacare MoblVac 7 PATIENT USER GUIDELINES A WARNING Patients requiring MRI Hyperbaric chamber
15. radually f you touch any button on the control panel the unit goes out of sleep mode and the control panel illuminates Invacare MoblVac 8 Part No 1176092 6 OPERATION 6 2 Alarms Canister Full Alarm This alarm will sound when the canister is full Il Press the PAUSE button 2 Remove the collection canister and dispose of as instructed by your healthcare professional 3 Replace with a new canister and restart If the unit continues to alarm please refer to the troubleshooting section of this manual Excessive canister changes or canister full alarms may indicate that there is excessive bleeding Leak Alarm If the pump runs constantly and the unit goes into a leak alarm mode perform the following A Press the SILENCE button on the control panel Check the patient dressing canister and tube connection for leaks B C Seal leaks D Once the leaks have been sealed the pump will become silent If the unit continues to alarm please refer to the troubleshooting section of this manual The leak alarm indicates that there is a leak in the dressing This may be due to improper application patient movement or excessive bleeding Battery Alarm The alarm will sound when the battery needs recharging Plug the electric cord into an electric outlet to charge the battery Part No 1176092 9 Invacare MoblVac 6 OPERATION 6 3 Disabling Sleep Mode You can disable the sleep mode and keep the c
16. t must be used in completely upright position 2 Contaminate on canister alarm contact area 2 Press the PAUSE button and remove the collection canis ter Visually inspect the electrical contact area on the canister and the housing and remove any debris or contaminate that is compromising the electrical connection Replace canister and restart 3 Defective unit 3 Call MoblVac Technical Clinical Hotline at 866 985 6798 for assistance vacuum to patient l Unit is in the PAUSE mode Press RUN button 2 Unit is in the OFF cycle during intermittent mode 2 Wait for the OFF cycle to finish timing and the unit will cycle to the 3 Collection canister is full and alarm has been silenced 3 Replace collection canister and restart unit 4 Pressure regulator is set at zero 4 Press INCREASE button to raise vacuum pressure 5 Exhaust vents in back of machine are blocked 5 Ensure adequate ventilation by removing any obstructions 6 Defective unit 6 Call MoblVac Technical Clinical Hotline at 866 985 NPWT 6798 for assistance Part No 1176092 Invacare MoblVac 9 REFERENCES 9 References Argenta LC Morykwas MJ Vacuum assisted closure a new method for wound control and treatment clinical experience Ann Plast Surg 1997 38 563 576 577 Ballard Baxter Vacuum assisted closure Nurs Times 2001 97 51 5
17. the drain tubing directly to the suction canister using the extension tubing included Before continuing make sure that the tubing is not crimped or pinched and that there are no obvious obstructions Apply continuous suction and observe the wound site The wound dressing shall shrink noticeably and the clear dressing will look wrinkled If sealing does not occur check the dressing for proper sealing against the skin and at the tubing exit site Readjust the seal as necessary and reapply suction 6 Check the wound dressing at regular intervals for leaks A CAUTION Infected wounds may require more frequent dressing changes Constant monitoring of the wound must be done to check for signs of infection Patient must be closely monitored for bleeding If sudden or increased bleeding is observed immediately stop therapy and take appropriate actions The TruSeal Kink has not been studied on pediatric patients Patient size and weight must be considered when prescribing Invacare MoblVac 16 Part No 1176092 7 PATIENT USER GUIDELINES Dressing Changes CAUTION Dressing changes should be done by qualified healthcare professionals Your healthcare professional will determine how often to change dressings Initial Application The TruSeal Link dressing kits are typically changed 48 hours after the initial application of therapy Subsequent Dressing Changes If the patient is comfortable and if no dressing le
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