If the bulb does not stay depressed, a

to the air vent tubing as indicated (if required by a clinician).

ttach LP-suction

Expanded bulb

Attach low pressure (LP) suction

Depress the bulb. If the bulb stays depressed it

applies suction to assist fluid / air to drain.

suction

Depress the bulb. If it re-expands there is an air leak.

If it re-expands, syringe 30ml clean water into air-vent tubing.

Look for bubbling or water level movement.

Bubbling or water level movement = air leak

Air leak?

AIR VENT TUBING

Suction tubing

water

Good news

Potential reasons: - Pneumothorax

- Fistula (air leak)

- Tube connections not secure

= air leaks into the system

Reason:

(suction / negative

pressure is achieved

provided there is no

blockage in tubing)

Depressed bulb

Monitoring

X Bad news

Depress the bulbDepressed bulb

Npr

egative

re

ssu

e

1000

ml

900

100

200

300

400

500

600

700

800

150

250

350

450

550

650

750

850

950

ml

6080

40

20

100

30

10 5

MAX

50

20

H O2 level

bubbling

7654321

water levelmovement

SINAP

Iche

st d

rain

MO

DE

L N

O: X

L 1

00

0 (

00

1)

(pa

ten

t p

en

din

g)

AIR LEAK SIZE

INDICATOR

ega

ve

rr

Ntip

ess

ue

1000

ml

900

100

200

300

400

500

600

700

800

150

250

350

450

550

650

750

850

950

ml

6080

40

20

100

30

10 5

MAX

50

20

H O2 level

bubbling

7654321

water levelmovement

SINAP

Iche

st d

rain

MO

DE

L N

O: X

L 1

00

0 (

00

1)

(pa

ten

t p

en

din

g)

AIR LEAK SIZE

INDICATOR

7654321

Small

Large

AIR LEAK SIZEINDICATOR

Look for bubbles

H O level2

bubbling

water levelmovement

Do not use if unit package is opened

or damaged.

Single UseAvoid Extreme Temperatures

o50 C

o0 C

SINAPI biomedical Arc / Infruitec North CampusLelie Road, Stellenbosch, 7599, South AfricaTel: +27 21 887 5260 Fax: +27 21 887 3059email: sales@sinapi.co.zaPostal: Suite 214, Pbag X5061, Stellenbosch 7599

STERILE EO LATEX

Latex Free

INSTRUCTIONS FOR USE - NURSING CARESINAPI CHEST DRAIN

CAUTION: Federal law restricts this device to sale by or on the order of a physician. Doc. Rev 01

If re-used the sterilityof the device is

compromised, which willgreatly increase infection risk

Replace deviceafter 7 days

For hemothorax: Look for blood visible in the drainage tubing.

For pneumothorax: Depress the bulb - the bulb must initially re-

expand. If it does not re-expand it confirms an absence of air at the catheter tip,

thus the catheter is not placed in the pleural space (or pneumothorax is resolved).

How to confirm chest catheter position

Hang device lower than the chest. Routinely drain

fluids via the bottom outlet tap before it overflows. If

necessary, you may lie device flat on the bed, as long as the

liquid in the reservoir remains less than the maximum volume

level. Hang next to the bed when unattended.

Gravity drainageMobileShorten the chest catheter to

prevent loops in tubing. For

pneumothorax, remove the

drainage bag.

A guide when to remove the chest catheter

Evaluate the above clinically and / or with chest X-ray

Depress the bulb until the bulb stays depressed. If the bulb re-expands, pinch

the tubing above the valve and then depress the bulb. Repeat the process until the

bulb stays depressed (up to 30x). For BP fistula (air-leak), attach external suction.

Increase the drainage rate (suction)

Depressed bulb

X

depress bulb

pinchtubing

You have to confirm two things:

1. Drainage volume must be low.

2. Depress the bulb: the bulb must stay depressed.

if bulb re-expands it confirms air in the pleural space / if bulb

stays depressed it confirms the opposite.

Negative

pre

ssure

1000

ml

900

100

200

300

400

500

600

700

800

150

250

350

450

550

650

750

850

950

ml

0680

40

20

010

30

10 5

MAX

50

20

HO2 level

bubbling

7654321

water levelmovement

SINAP

Iche

st d

rain

MO

DE

L N

O: X

L 1

00

0 (

00

1)

(pa

ten

t p

en

din

g)

0

120

AIR LEAK SIZE

INDICATOR

Pneumothorax

asNe

gti v

e pr

esu

re

1000

ml

900

100

200

300

400

500

600

700

800

150

250

350

450

550

650

750

850

950

ml

6080

40

20

100

30

10 5

MAX

50

20

HO2 level

bubbling

7654321

movementwater level

SINAP

Iche

st d

rain

MO

DEL

NO

: XL

1000

(001

)

(pate

nt pe

nding

)

0

120

SIZEAIR LEAK

INDICATOR

Hemothorax

Ngat

i e p

ress

ure

ev

1000

ml

900

100

200

300

400

500

600

700

800

150

250

350

450

550

650

750

850

950

ml

6080

40

20

100

30

10 5

MAX

50

20

HO2 level

bubbling

7654321

movementwater level

SINAP

Iche

st d

rain

MO

DE

L N

O: X

L 10

00 (0

01)

(pate

nt pe

nding

)

0

120

SIZEAIR LEAK

INDICATOR

Replace device after 7 days!!

Expanded bulb

Confirms air atcatheter tip

Depressed bulb

SINAPI CHEST DRAININSTRUCTIONS FOR USE - INSERTION & REMOVAL

Confirms NO air atcatheter tip

NOTE: Device volumes are approximate.