IFU-VG-R4-03215 13/04/2015 08:29 Page 1
Determine
what the ideal
lean weight of
the animal
should be
v-gel
®
Instructions
for use and
cleaning
PLEASE NOTE: These instructions are for
guidance only. They are not intended to
supercede best clinical practice employed
by individual veterinary professionals.
These instructions apply equally to the cat
and rabbit devices (except for exclusive
features of the cat v-gel®).
It is advisable to watch the training videos
available on www.docsinnovent.com and
YouTube
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1
Weigh the animal to assist in selecting the correct
size of v-gel®.
2
Using the determined ideal body weight information
refer to the sizing chart overleaf to select the correct
size of v-gel® to use.
3
Sizes 3 & 4 and 5 & 6 Cat v-gels are for the same
weight of animal but 4 and 6 are for longer nose
cats.
5
Ensure that the patient is pre-oxygenated and is fully
anaesthetised to a surgical plane of anaesthesia
before inserting the v-gel®.
6
Examine the mouth of the patient for any food/hay
then apply an appropriate dose of local anaesthetic
topical spray onto patient’s larynx and wait for
60–90 seconds for it to take full effect.
7
Lubricate the v-gel® cuff with a water-based lubricant,
such as Vetlube®.
8.2
If using Sidestream
Capnography, attach
the port to the v-gel®
prior to insertion.
Insert the v-gel® into the pharynx. If too large a
size is selected, the v-gel® cannot be inserted with
gentle finger-push pressure. In this case choose a
smaller size.
10.1
General:
Users of v-gel products should carefully familiarise themselves with
Docsinnovent’s product information for use and cleaning, as fully detailed
on our website at www.docsinnovent.com.
Important: It is essential that users must follow the recommendations as
to handling, use, cleaning and sterilising of each v-gel product in order to
maintain its condition for up to the maximum 40 patient uses within 1 year
of supply, after which the product should be disposed of. Docsinnovent
and your supplier will accept no liability whatsoever where a user has failed
to comply in all respects with those recommendations, or has exceeded
the maximum number of patient uses within the 1 year period, or the
product use-by date has been exceeded.
Docsinnovent Ltd, Bury House, 31 Bury Street, London, EC3A 5AR, UK
Tel: +44 (0) 207 649 9071 Fax: +44 (0) 207 632 0301
Email: [email protected]
To further help select the correct size v-gel® feel for
the larynx. Without touching the animal’s fur place
the v-gel® cuff over this – ensure that the connector
portion reaches just past the incisor teeth.
8.1
v-gel® PRODUCT WARRANTIES and
WARRANTY LIMITATIONS
Warranties, conditions and limitations:
1.Docsinnovent Limited warrants that v-gel products (a) conform to
Docsinnovent’s published specifications, (b) are free from manufacturing
defects and (c) are fit for their intended use and purpose.
2.Users should inspect the products immediately upon delivery and must
report in writing any apparent defect in a product to your supplier within
7 days of delivery, after which any claim cannot be accepted.
3.Users claiming a product failure during use must report such failure in
writing to your supplier immediately upon discovery. Your supplier or
Docsinnovent will require a user claiming a product failure to specify
details of the claim and certify compliance in all respects with the
recommendations of use set out above. The product must be available
for return and analysis.
4.Where a claim is accepted, your supplier will normally replace the
product free of charge or alternatively at its option refund/credit the cost
of the product.
5.You may be required to return the product the subject of a claim to your
supplier. It should be securely packaged and sent pre-paid by normal
post. Where a claim is accepted, your supplier will refund postage.
6.Docsinnovent’s and your supplier’s liability in respect of any claim shall
be limited to the invoiced price for the product and any postage refund,
and they shall not be liable under any circumstances for consequential
loss, damage or loss of profits in respect of any claim.
4
When using a Mainstream
Capnograph attach the sensor
directly to the v-gel® 15mm port.
Pharyngeal
arch
Mainstream
sensor
9.1
The v-gel® will guide itself into place upon
insertion into the pharynx as will the tip of the vgel® to seal the upper oesophagus.
9.2
Continue inserting the v-gel® until it passes over
the base of the tongue. The v-gel® will then seal
over the larynx.
9.3
The insertion process will stop when shoulders of
v-gel® come into contact with the pharyngeal
arches. A positive stop will be felt when the
correct position is achieved.
10.2
Check that the patient is breathing through the
v-gel® by viewing breathing waveforms on the
Capnograph. If a Capnograph is not available
employ an alternative safe method.
The animal will not
experience the
usual gagging reflex
actions associated
with the use of
endotracheal tubes.
11
To secure the v-gel® to the patient tie a gauze fabric
strip securely around the ring features on the
device. The gauze can be also passed through the
loops on the body of the v-gel® if preferred.
12
The gauze strip should be fastened securely
around the back of the neck of the animal.
13
Once the v-gel® is secure, the weight of the
anaesthetic circuits can be supported by the d-grip®
tube holder.
14
Once surgery is complete untie the gauze strip
and, when the patient has regained consciousness,
simply remove the v-gel. Prepare the v-gel® for
cleaning and steriliastion, ready for re-use.
IFU-VG-R4-03215 13/04/2015 08:29 Page 2
v-gel
Cleaning v-gel®
®
Instructions for use
Sizing Chart
CLEANING NOTES:
1. Cold sterilizing or disinfectant cleaning agents,
including but not limited to: ammonium chloride,
chlorhexidine, bleach solutions, surgical spirit etc.
are NOT recommended for v-gel® as they could
shorten the useful life and/or damage the product.
2. Rinsing off enzymatic cleaning solution using tap
water instead of sterile water could potentially
downgrade sterility and cleanliness but should not
harm the product’s useful life providing they are
immediately and thoroughly dried out.
3. Docsinnovent is able to identify any deviation from
the recommended cleaning and sterilising process.
Any deviation from the cleaning guide voids the
warranty.
1
After each use, rinse with tap water to remove any
mucus or other foreign material from all surfaces of the
v-gel® device and cradle. Ensure that the monitoring
port cap is disconnected from the gas monitoring port.
2
Mix ENZYMATIC CLEANER ONLY (see note 1) into
warm water (<50⁰ Celsius) as recommended by the
manufacturer.
3
Soak the v-gel® and cradle in enzymatic cleaning
solution for a period of 10 minutes.
Shake off excess water from all parts and then
completely dry all inside and outside surfaces of the
v-gel® and cradle.
7
Check to ensure the inside of the rubber monitoring
port cap is completely dry before reconnecting it
back onto the gas monitoring port. Return the v-gel®
to the cradle.
4
Whilst soaking, use a soft bottle brush to gently clean
the internal airway channel of the v-gel® to remove
any remaining mucus or other foreign material.
5
Thoroughly rinse the v-gel® and cradle with filtered or
sterile water. (see note 2)
6
8
Clip the inflation line securely into the clips on the
underside of the cradle (cat v-gel® only).
9
Mark off one number on the cycle counter located
on the cradle.
the fully-dried v-gel® product into an autoclave
10 Place
pouch, seal the pouch and place on the shelf of the
steam autoclave. The product must not be directly in
contact with the internal drum wall throughout the
sterilization process.
®
v-gel for Cats
(feline) valve unit
and inflation line
®
Wing sections and moulded tie ridges on
the body provide various device-to-patient
securing points to ensure to prevent
malposition during use.
Shoulder – provides
tactile stop point for
insertion control and
improves resistance to
rotation and malposition
when device is in place.
Inflatable dorsal pressure
adjuster – to increase
sealing pressure if
required.
Dorsal surface
Tongue pressure
relief area
Size reference code
Cuff
Monitoring port cap –
prevents gas leakage
when monitoring
sampling line is not
attached.
Species pictogram
Latex-free symbol
Airway
channel
Contoured Cuff Tip
IFU/VG/R4/03215
Steam Autoclave @121°C (250°F) cycle, followed
by the drying cycle. At the end of the total
sterilization process check product in the bag is
fully dry and free from any internal condensation.
Integral monitoring port permits
attachment to a gas sampling line.
v-gel key features
Shoulder dorsal bump –
aids towards resisting
rotation and malposition
when device is in place.
CAT dorsal inflatable valve – to
increase sealing pressure if required
11
Maximum
use indication
12
Allow the Autoclaved bag containing the
sterilised product to fully dry in a well
ventilated environment.