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FAQs

ebb FAQs

Can ebb be used after C-section?

Of course it can.

How can I confirm proper placement?

Use ultrasound to confirm correct placement within the uterus. When filling, keep fingertips at cervix to ensure the balloon stays in place and is not overfilled. Then a vaginal exam is recommended to ensure that the intrauterine balloon has not been overinflated, which could cause the balloon to prolapse into the vagina.

How long can ebb remain inside the patient?

The timing of this decision is left to the clinician managing the patient. However, efforts should be made to remove or deflate the balloon within 24 hours because of the risk of infection. Ensure adequate staffing before attempting to remove the tamponade balloon in case of adverse reaction.

How quickly should the balloons be deflated?

The catheter should be deflated until it can be atraumatically removed and the area observed for signs of persistent or recurring bleeding. Deflation of the balloon may be achieved by an incremental reduction of fluid volume followed by a period of observation until the uterine balloon is empty. If rapid fluid release is required the inflation lumen may be cut above the spike.

What are the fill volumes for the uterine and vaginal balloons?

The maximum recommended fill volumes are 750ml for the uterine balloon and 300ml for the vaginal balloon. These volumes may be exceeded if clinically necessary. NOTE: Fill volume ≤ 500ml is usually sufficient for tamponade.1 Initial experience with a dual-balloon catheter for the management of postpartum hemorrhage. Dildy GA, Belfort MA, Adair D, et al. Am J Obstet Gynecol. 2014;210:136.e1-6.

What should I use to fill the balloons?

NEVER inflate with air. The balloons can be inflated with an IV bag, ringers lactate solution, distilled water, or any other sort of fluid typically found in the hospital.

Kiwi OmniCup FAQs

Where can I find training?

You can find education material & training events at www.vaccaresearch.com

ROM Plus® FAQs

Are there gestational age limitations for using ROM Plus?

ROM Plus does not have any gestational age limits.

Do you have to use the timer in the cassette to run the test?

No. The timer that is built into the cassette is included for convenience and does not need to be used while running the test.

Does blood contamination affect the test result?

ROM Plus test kits have been tested up to 10% blood concentration. In other words, it will function properly with trace amounts of blood in the sample, however, significant amounts of bloody discharge may cause the test to malfunction. ROM Plus is not recommended for use in these situations and it should be determined what is causing the bleeding.

How often should external QC’s be run?

It is the company’s recommendation that external QC be completed every 30 days, or for every new lot number or shipmnt received, whichever comes first.

Is there a time limit for reading the test?

Yes. The ROM Plus test is an immunoassay test and as with all immunoassay tests the results will diminish over time. Do not read the test results after 30 minutes have passed

What is ROM Plus’ CLIA Classification?

ROM Plus test is not a waived test. It has been classified as Moderately Complex by CLIA (Clinical Laboratory Improvement Amendments).

What is sensitivity/specificity?

Sensitivity is the percentage probability that a positive test will occur in a patient who is really experiencing rupture of membranes, or the proportion of actual positives which are correctly identified as such. In a multi-site hospital study involving 285 patients, ROM Plus resulted in an overall sensitivity of 99% (see IFU for details). Specificity is the percentage probability that a negative test will occur in a patient who is not experiencing rupture of membranes, or the proportion of actual negatives which are correctly identified as such. Specificity also refers to the ability of the test to detect the correct result in the presence of interfering components that may be present in a sample matrix (i.e., blood, urine, semen, etc.). ROM Plus resulted in an overall specificity of 85%.

Will semen, urine or disinfectants interfere with test?

Tylenol, aspirin, Lever Soap, Noxema cream, Pert Shampoo, human semen, urine and blood were tested as possible interference’s and were shown to be negative. For additional information please see the ROM Plus IFU

traxi FAQs

Can I use Alexis-O® or Mobius® incision site retractors with traxi?

Yes. There is no reason you could not use both an internal and external retractor. However, we feel the retraction a correctly applied traxi provides will clearly expose the surgical site and may eliminate the need for indwelling retractors.

How do I apply traxi?

Step by step instruction for proper application can be found HERE. If you need further assistance please contact Customer Service at +61 7 3862 2000.

How long can I leave traxi on a patient?

According to the package insert, traxi can remain on a patient for up to 24 hours. However, if you plan to leave the device in place after a procedure, it is important you clean the patient’s skin according to your hospital protocol.

Is traxi applied as a sterile product?

Depending on what you currently use to retract the panniculus, it is likely not sterile. However, traxi is supplied sterile and can be applied aseptically. If you want to prep the patient before applying the device to ensure a sterile field, traxi can be applied once the prep is completely dry. Tape, straps, clips, etc. are typically not sterile and traxi can also be used in the same exact way as these. Applied to the patient and then prepped over the top.

Who We Are...

JB Medical Supplies delivers leading edge products & practices in labour, delivery and perinatal care. Our Partner agencies are Promed Technologies in New Zealand, and Fusion Healthcare in SA. WA and NT.

JB Medical Supplies
enquiries@jbmedicalsupplies.com.au
Phone No. (07) 3862 2000 Fax No. (07) 3862 2077
Unit 7, 8 Shannon Place, Virginia, QLD, AUSTRALIA