492 2850 31 Perfit Collar V1,0

492 2850 31 Perfit Collar V1,0
6
Warning
7
• Figure
Maintain neutral head and neck alignment during the entire procedure. Once the collar is properly applied and the patient is immobilized, the head should not be released
(see Figure 10). Further immobilise the head and neck with head blocks or a head
immobilizer and secure the patient to the backboard with appropriate retention straps.
Supine application
If the patient is supine, slide the back portion of the collar directly behind the patient’s
neck. Once the back portion of the collar is evenly positioned behind the head, the
front position of the collar can be positioned under the chin (see Figure 11). While
maintaining the proper positioning of the collar with one hand, attach the velcro with
the other hand (see Figure 12). Ensure that the loop velcro tab is firmly attached and
parallel to the fixed hook velcro tab on the front of the collar.
Warning
Maintain neutral head and neck alignment during the entire procedure. Once the collar is properly applied and the patient is immobilized, the head should not be released
(see Figure 13). Further immobilize the head and neck with head blocks or a head
immobilizer and secure the patient to the backboard with appropriate retention straps.
11.
10.
Warranty/Guarantee
Ambu Inc. warrants its products to be free from defects in workmanship and materials when purchased through Ambu Inc. or its authorized channels ot distribution and
used in accordance with reommended procedures. Should any product be found to
be defective, obtain a return authorization number from Ambu before sending it
back. Repair or replacement will be made at no charge.
12.
13.
Ambu® Perfit is in conformity with Council Directive 93/42/EEC concerning Medical Devices.
Ambu® and Ambu Perfit are registered trademarks of Ambu A/S, Denmark.
Ambu A/S is certified according to ISO 9001, EN 46001 and ISO 13485.
Directions for use
USA
Ambu Inc.
611 N. Hammonds Ferry Road
Linthicum, MD 21090-1356
Tel.: +1 410 636 1144
Fax: +1 410 636 9969
www.ambu.com
492 2850 31 - 05/2003 - Version 1.0.0 • Printed in China • Ambu A/S
Corporate Head Office
& Manufacturer:
Ambu A/S
Baltorpbakken 13
P.O. Box 232
DK-2750 Ballerup
Denmark
Tel.: +45 72 25 20 00
Fax: +45 72 25 20 50
E-mail: ambu@ambu.com
www.ambu.com
Ambu® Perfit® Collar
Perfit Extrication Collar
3
2
Contents
Page
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Principles of Immobilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Directions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Collar Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Supine Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Warranty/Guarantee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
These directions for use may be updated without futher notice.
Copies of the current version are available from the manufacturer.
Description
The Ambu® Perfit extrication collar is a one-piece rigid cervical spine immobilization
device designed to assist the rescuer with the maintenance of neutral alignment, prevention of lateral (side-to-side) sway and anterior-posterior (forward and backward)
flexion and extension of the cervical spine during transport and routine patient care or
movement.
Principles of Immobilization
Prevention and/or further extension of damage to the cervical spine and spinal cord is
accomplished by maintaining the head and neck in a position of “neutral alignment.”
The head and neck should not be flexed forward, extended backward, or cocked to
one side or the other. The neutral alignment position prevents damaged vertebrae or
foreign bodies from rubbing and/or cutting the spinal cord. Additionally, the neutral
alignment position prevents the spinal cord from being twisted or compressed causing
physical and/or ischemic injury to the spinal cord.
Warning
The Ambu Perfit extrication collar is intended for application by licensed health care
practitioners as directed by a physician or other medical authority. Permanent injury
may result from use other than as directed by a physician or other medical authority.
An extrication collar is only part of total patient immobilization.
It is important that practitioners are trained and practiced in the use and application
of the device and that all instructions are read and understood prior to application of
the collar.
All directions are to be considered as guidelines and not an attempt to define medical
practice. Use the device only after review and approval from the supervising medical
authority.
An extrication collar is only part of total patient immobilization.
4
Directions for use
5
• Figure
1. Have one rescuer manually stabilise the head and neck, gently holding the head
and neck in the neutral alignment position (see Figure 1).
NOTE: If resistance is felt or an increase in patient discomfort is noted, follow your
established protocols for immobilisation of the cervical spine in the presence of
known or suspected cervical dislocation.
2. Once the head and neck are manually stabilised, a second rescuer should apply an
Ambu extrication collar of appropriate size to the patient as determined below.
Applied collar must not hyper-extend patient’s neck.
3. Measure the distance between an imaginary plane drawn horizontally and immediately below the patient’s chin and second horizontal plane drawn immediately on
top of the patient’s shoulder (see Figure 2).
4. Compare this distance with the distance from the collar sizing line to the lower
aspect of the plastic collar body (not the foam) (see Figure 3).
1.
2.
4.
5.
3.
Collar Assembly
The collar is assembled as follows:
Hold the collar near the tracheal opening with one hand, Place the index finger on
the foam side of the chin piece (on the center rivet) and the thumb on the plastic side
of the chin piece (on the center rivet) and simply flip the chin piece from the back of
the collar to the front of the collar (see Figures 4 and 5). This automatically forms the
chin piece and places it in the position of function.
Application
Proper application of any extrication collar requires two individuals. The first rescuer
should maintain stabilisation and neutral alignment of the head and neck by grasping
the head with a spread finger technique (see Figure 6).
6.
1. The second rescuer should slide the front of the collar along the patient’s chest and
position the chin piece. The collar body should rest on the top of the patient’s
shoulder and against the sternum without gaps (see Figure 7). The patient’s chin
must rest securely In the chin piece in neutral alignment position (see Figure 8).
2. While holding the front of the collar in place, wrap the back of the collar around
the back of the patient’s head and neck and secure to the front of the collar with
the velcro tab (see Figure 8).
3. Adjust the velcro tab as necessary by holding the front cutout of the collar and
tightening the velcro tab (see Figure 9).
7.
8.
9.
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