Before using this document, thoroughly read The Insides® System Setup Guide and The Insides® System Instructions and Technical Description.
This work instruction is to act as a visual prompt and reminder of the key tasks, but does not contain all the necessary information.
1. Prepare the workstation.
Prepare The Insides® Tube
Unwrap the arms of retention sleeve.
Ensure the retention sleeve is positioned towards the base of the tube.
Ensure the guidewire sits in the tip of the bulbous feature.
Ensure the arms of the retention sleeve remain unwrapped.
Ensure the arms of the retention sleeve remain unwrapped.
Lubricate the bulbous section of the Tube.
2. Digitally palpate the distal intestine to determine if the tube is suitable, and the direction and distance to the fascia.
3. Prepare the Tube for insertion.
Collapse the bulbous feature of the tube by inserting the guidewire until the base of the tube touches the stop of the guidewire. Pinch the guidewire through the tube to maintain the position.
4. Pinch the bulbous feature and roll it between your fingers to further collapse the Tube.
Apply more lubricant if required.
ENSURE THAT THE GUIDEWIRE REMAINS WITHINTHE TIP.
5. Hold the Tube and guidewire together firmly.
Insert the Tube and apply gentle pressure until the bulbous features is 10-20mm past the abdominal fascia. The Tube can be insert at any angle that is required. Here are two examples:
6. Hold the retention sleeve to keep the Tube in place and remove the guidewire.
7. Allow the Tube to settle in its natural position then move the retention sleeve so it sits 1-2 mm away from the stoma.
8. Wrap the arms of the retention sleeve back in place.
9. Hold the ostomy appliance against the Tube and Pump to determine the appropriate length of tube.
10.Trim the Tube to the desired length.
11.Connect the Pump to the Tube. The Pump should be pressed up to the third ring.
12. Supervise the patient threading on their ostomy appliance and securing it to their abdomen. Ensure there is a 10-20mm gap between the Pump and the outlet.
13. Secure the Clip to theTube when the patient stands up.
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