sinapi chest drain - sinapibiomedical.comsinapibiomedical.com/downloads/scd_brochure.pdf · sinapi...

2
sinapi chest drain range For the evacuation of fluids from the mediastinal and pleural cavities in post-operative or trauma settings Compact handle and hanger - slides up and down Safety (+)pressure relief valve Innovative spillage protection Air leak indicator - look for bubbles - look for red float movement Accurate volume measurements - write on surface Secure bag fitting with Drainage bag - of bodily fluids to staff ensures no exposure Drainage tap - large diameter outlet Safety high negativity vent One-way valve - low opening pressure - latex free Air leak size measurement - look for red float movement Suction bulb - evacuates fluids -monitor lung expansion Sampling port - needle-less (1) See CLINICAL TRIALS on page 2 ADVANTAGES CAUTION: Federal law restricts this device to sale by or on the order of a physician. bb ng bu li The Scheffler valve and suction bulb evacuates fluids faster than conventional chest drains This translates into quicker drainage time and shorter hospital stay (1) Clinicians can detect if lung has expanded by monitoring bulb & valve Smaller, lightweight device = greater patient mobility that further improves outcome Closed system = improves infection control No tube clamping is required with no risk of forgetting to un-clamp Empty container without losing the seal (Patent Pending)

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Page 1: sinapi chest drain - sinapibiomedical.comsinapibiomedical.com/downloads/scd_brochure.pdf · sinapi chest drain range For the evacuation of fluids from the mediastinal and pleural

sinapi chest drain range

For the evacuation of fluids from the mediastinal and pleural cavities in post-operative or trauma settings

Compact handle and hanger- slides up and down

Safety (+)pressure relief valve

Innovative spillage protection

Air leak indicator- look for bubbles- look for red float movement

Accurate volumemeasurements- write on surface

Secure bag fittingwith Drainage bag- of bodily fluids to staff

ensures no exposure

Drainage tap- large diameter outlet

Safety high negativity vent

One-way valve- low opening pressure- latex free

Air leak sizemeasurement- look for red float movement

Suction bulb- evacuates fluids-monitor lung expansion

Sampling port- needle-less

(1) See CLINICAL TRIALS on page 2

ADVANTAGES

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

bb ngbu li

The Scheffler valve and suction bulbevacuates fluids faster than conventionalchest drains

This translates into quicker drainagetime and shorter hospital stay (1)

Clinic ians can detect if lung hasexpanded by monitoring bulb & valve

Smaller, lightweight device = greaterpatient mobility that further improvesoutcome

Closed system = improves infection control

No tube clamping is required with norisk of forgetting to un-clamp

Empty container without losing the seal

(Patent Pending)

Page 2: sinapi chest drain - sinapibiomedical.comsinapibiomedical.com/downloads/scd_brochure.pdf · sinapi chest drain range For the evacuation of fluids from the mediastinal and pleural

CLINICAL TRIALS

- Studies have shown that the use of a flutter valve as opposed

to an Under Water Drain (UWD) and an emphasis on earlier

mobilization reduces the hospital stay of patients:

- Niemi et al. (1999) proved a reduction in mean drainage time

(1.2 days), mean length of hospitalization (1.7 days) and number

of x-rays (1.6) when flutter valves were used for chest drainage

(simple pneumothorax) as opposed to UWD’s (76 patients).

- Graham et al. (1992) compared the use of chest drainage bags

with flutter valves to UWD's in 119 patients undergoing elective

thoracotomy. Patient with flutter valves were fully mobile 23

hours earlier, able to sit in a chair 7 hours earlier and discharged on

average 1 day earlier.

- Knottenbelt & vd Spuy (1990) showed a significant reduction in

hospital stay with a protocol of greater patient mobility and

physiotherapy used on patients undergoing chest drainage (after

penetrating chest trauma).

- Bernstein et al. found that 66% of patients fitted with a Heimlich

flutter valve showed full expansion of the lung within one hour

(pneumothorax).

- The first clinical trial (Cooper & Hardcastle, 2006)

comparing the Sinapi Chest Drain with UWD’s showed a

24% reduction in drainage time (penetrating chest

trauma).

- Further studies supporting patient mobility: Bar-el et al.,

Baumann, Carroll, Cerfolio et al., Conces et al., Crocker & Ruffin,

Driver et al., Heimlich, Horowitz & Oliva, Lodi et al., Mckenna et al.,

Metersky et al., Ponn et al., Taubert et.al., Vricella & Trachiotis.

Waller et al (1999) found that a flutter valve provides a

physiologically more effective alternative to the underwater seal

drainage system when managing post-operative air leaks.

ening pressure when the liquid level rises in

the bottle or when liquid is trapped in the kinks

of the tubing

- The water seal is an inefficient ‘one-way

valve’: the water column in the tubing moves back to the lung (tidal

action) allowing air to re-enter the pleural space. This air-buffer

reduces the ability of the lung to ‘push air out’ of the pleural space -

thus reducing the rate of recovery (Miller & Sahn, 1987).

- The bottle can be knocked over = seal and closed system is broken.

- Health care staff requires a good understanding of the physics of

"water pressure" to manage the UWD effectively.

DISADVANTAGES OF THE Under Water Drain (UWD)

- The water seal of the UWD has a high valve

op

(refer ; “The

efficiency of a one-way valve...”).

www.sinapi.co.zaX

X

OTHER ADVANTAGES OF THE SINAPI CHEST DRAIN

- Manual suction can be applied by depressing the bulb to assist with

drainage.

- An angulated valve and depressed bulb indicate expanded lung.

- Regular patient movement is easier, helping trapped fluids to exit

the thoracic space.

- When patients mobilize, breathing volume increases. This

increases pressure inside the pleural space forcing air/liquid out via

the catheter.

- Patient posture improves allowing full use of the chest muscles and

diaphragm.

- Patient mood improves with increased independence.

- The speed of pleural drainage and promptness of pulmonary re-

expansion are the most effective measures against pleural

infections (Aguilar et al. & Millikan et al.).

Absolute pressureORDERING

CODE

XS50

D-001

XL2000

XL1000

XL200

NO

1

2

3

4

5

DESCRIPTION

Chest Drain - Short tubing, without drainage bag - 50ml

Chest Drain - Long tubing, without drainage bag - 2000ml

Chest Drain - Long tubing, without drainage bag - 1000ml

Chest Drain - Long tubing, without drainage bag - 400ml+2000ml

Drainage bag – 2000ml

- The dead space of the large chambers

drastically reduces the rate at which negative

pressure can be regained in the pleural space

- Units are bulky and heavy making it difficult to mobilize.

- Units need to be kept upright as tilting causes fluids to move

between chambers.

DISADVANTAGES OF THE 3-CHAMBER SYSTEM

- Contrary to the Sinapi Chest Drain the valve/seal of 3-Chamber

Systems is positioned distal to the chamber

increasing the dead space to up to 3 liters!!!

(refer

to clinical studies: , “The

efficiency of...”)

- This is why external suction is always required with 3-chamber

systems!!!

www.sinapi.co.za

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

PRODUCT DESCRIPTION www.sinapi.co.za

Manufactured by: SINAPI BiomedicalPostal Address: Postnet suite 214, Private Bag X5061, Stellenbosch, 7599Physical Address: ARC-Infruitec North campus, Lelie rd, Stelenbosch, 7600Tel: +27 (0) 21 887 5260 Fax: +27 (0) 21 887 3059email: [email protected] website: www.sinapi.co.za

Mobilise

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