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Defibrillation: Remove adhesive drape from area of defibrillation to prevent WOUND PREPARATION DRAPE APPLICATION

INSTRUCTIONS FOR USE inhibition of electrical energy transmission.

English
1. Holding the Open Abdomen Drape, partially pull back one side of layer 1 to
ABThera
WARNING: Review all ABThera Negative Pressure Therapy System Safety Information
Acrylic Adhesive: The ABThera Drape has an acrylic adhesive coating, which may
before beginning Wound Preparation. Ensure adequate hemostasis has been achieved expose adhesive (Fig. 7). Be sure to hold layer 1 flap back, to prevent re-adherence
present a risk of an adverse reaction in patients who are allergic or hypersensitive to to drape.
Active Abdominal Therapy prior to dressing placement (refer to "Bleeding" section under WARNINGS).
acrylic adhesives. If a patient has a known allergy or hypersensitivity to such adhesives,
OPEN ABDOMEN do not use the ABThera Dressing. If any signs of allergic reaction or hypersensitivity 1. Sharp edges or bone fragments must be eliminated from wound area or covered 2. Place the drape adhesive-side down to cover foam and intact skin, ensuring drape
NEGATIVE PRESSURE THERAPY SYSTEM develop, such as redness, swelling, rash, urticaria, or significant pruritus, discontinue (refer to "Bleeding" section under WARNINGS). covers at least a 8-10 cm border of intact periwound tissue (Fig. 8). Use any excess
2. Irrigate abdominal wound and cleanse periwound skin as indicated. drape to seal difficult areas, if needed.
use and ensure appropriate emergency medical treatment. If bronchospasm or more
serious signs of allergic reaction appear, remove dressing and ensure appropriate NOTE: To avoid trauma to the periwound skin, do not pull or stretch the drape over
3. Clean and dry periwound tissue, consider use of a skin preparation product to the foam dressing. Minimize wrinkles, as they may be a source of negative pressure
SAFETY INFORMATION emergency medical intervention. protect periwound skin. Do not allow foam to overlap onto intact skin. Protect leaks (refer to PRECAUTIONS, "Protect Periwound Skin" section).
IMPORTANT: As with any prescription medical device, failure to consult a physician and Magnetic Resonance Imaging (MRI) Therapy Unit: The ABThera (NPT) Unit is fragile/friable periwound skin with additional drape, hydrocolloid, or other 3. Remove remaining tab 1 backing material and pat around drape to ensure an
carefully read and follow all therapy unit and dressing instructions and safety information MR unsafe. Do not take the device into the MR environment. transparent film. occlusive seal.
prior to each use may lead to improper product performance and the potential for serious Magnetic Resonance Imaging (MRI) Open Abdomen Dressing: The ABThera ABThera VISCERAL PROTECTIVE LAYER APPLICATION 4. Remove green-striped stabilization layer 2 (see Fig. 9 below).
or fatal injury. Do not adjust therapy unit settings or perform therapy application without Dressing can remain on the patient with minimal risk in an MR environment, assuming Sizing the Visceral Protective Layer can be achieved by folding or cutting.
directions from/or supervision by the clinical caregiver. 5. Remove perforated blue handling tabs from drape (see Fig. 10 below).
that use of the ABThera (NPT) System is not interrupted for more than 2 hours; WARNING: The foam in the Visceral Protective Layer is encapsulated for patient NOTE: When using multiple pieces of drape, ensure that the edges of the drape
INDICATIONS FOR USE: please refer to Keep Negative Pressure On. safety. Protect vital structures with Open Abdomen Visceral Protective Layer at all overlap in order to achieve a seal (see Fig. 11 below).
The ABThera Open Abdomen Negative Pressure Therapy (NPT) System is indicated for Hyperbaric Oxygen Therapy (HBO): Do not take the ABThera (NPT) Unit into times during therapy. Never place exposed foam material directly in contact with
exposed bowel, organs, blood vessels or nerves.
temporary bridging of abdominal wall openings where primary closure is not possible and a hyperbaric oxygen chamber. The ABThera (NPT) Unit is not designed for this

or repeat abdominal entries are necessary. The Intended Use of this system is for use in environment, and should be considered a fire hazard. After disconnecting the Open NOTE: The Visceral Protective Layer is fenestrated to allow for active fluid removal

2
Fig.11

1
when Negative Pressure is applied and is designed to allow application of this layer

1
Abdomen (NPT) Unit, either (i) replace the ABThera Dressing with another HBO

1
open abdominal wounds, with exposed viscera, including but not limited to abdominal

1
2

1
2
directly over omentum or exposed internal organs.

1
1
compatible material during the hyperbaric treatment, or (ii) cover the unclamped

1
compartment syndrome.

2
1
1. Remove contents from inner pouch and unfold the Visceral Protective Layer in

2
end of the ABThera Dressing tubing with moist cotton gauze. For HBO therapy, the

2
The ABThera system is intended for use in the acute hospital setting: in trauma, general

2
1

2
and plastic surgery wards. The abdominal dressing will most often be applied in the tubing must not be clamped. Never leave an ABThera Dressing in place without a sterile field. Either side of the Visceral Protective Layer may be placed on the Fig. 7 Fig. 8 Fig. 9 Fig. 10
operating theater. active negative pressure for more than 2 hours; please refer to the Keep Negative omentum or viscera.
Pressure On section. 2. Gently place Visceral Protective Layer over the open abdominal cavity (Fig. 2). TUBING SET/INTERFACE PAD APPLICATION
CONTRAINDICATIONS:
Application Setting: ABThera Dressing applications and changes should be 3. Determine the orientation of the dressing for the specific NOTE: Do not cut off the Interface Pad or insert the tubing into the foam dressing.
Patients with open abdominal wounds containing non-enteric unexplored fistulas should performed under strict sterile conditions in the surgical suite. If dressing change application. If Visceral Protective Layer will be placed around This may occlude the tubing and cause the Therapy Unit to alarm and could injure
not be treated with the ABThera (NPT) System. is performed outside the surgical suite, it must be performed in an environment tubes, drains or the falciform ligament, cut only between the underlying viscera.
Protect vital structures with ABThera Visceral Protective Layer at all times during therapy. equipped to address the onset of critical complications (refer to WARNINGS section),
foam extensions (see Fig. 1). (Do not cut near or through foam 1. Choose Interface Pad application site. Give particular consideration to fluid flow
Never place exposed foam material directly in contact with exposed bowel, organs, blood and where strict aseptic technique can be utilized.
extensions). Orient the Visceral Protective Layer accordingly and tubing position to allow for optimal flow and avoiding placement over bony
vessels or nerves. Fig. 1
PRECAUTIONS before cutting. protuberances or within creases in the tissue.
Management of the open abdomen has been documented in case reports and consensus
Standard Precautions: To reduce the risk of transmission of bloodborne pathogens, Folding Visceral Protective Layer to Size 2. Pinch drape and cut a 2.5 cm hole (not a slit) through the drape (Fig. 12). It is not
panel literature. Please refer to the References List section at the end of the dressing
application instructions. apply standard precautions for infection control with all patients, per institutional 1. Hold dressing by the edge and slightly lift. Then slowly lower dressing into the necessary to cut into the foam.
protocol, regardless of their diagnosis or presumed infection status. In addition to paracolic gutter, while using the other hand to gently and evenly work the dressing NOTE: Cut a hole rather than a slit, as a slit may self-seal during therapy.
WARNINGS gloves, use gown and goggles if exposure to body fluids is likely. down. (Fig. 3). Fold any excess Visceral Protective Layer up and over onto itself. 3. Apply Interface Pad, which has a central disc and a surrounding outer adhesive skirt.
Bleeding: Patients with abdominal wounds must be closely monitored for bleeding Monitor Fluid Output: The ABThera Open Abdomen dressing is designed to 2. Continue placing Visceral Protective Layer between abdominal wall and internal Gently remove both backing layers 1 and 2 to expose adhesive (Fig. 13).
as these wounds may contain hidden blood vessels which may not be readily efficiently remove fluid from the abdominal compartment and to evenly distribute organs (Fig. 4) throughout the abdominal compartment. The goal is to ensure full
apparent. If sudden or increased bleeding is observed in the dressing, tubing or Place Interface pad opening in central disc directly over hole in drape (Fig.14).
negative pressure. When treating patients with the ABThera (NPT) System, the volume coverage of all viscera.
canister, immediately turn off the ABThera Negative Pressure Therapy System, take of exudate in the canister and tubing should be frequently examined.
Apply gentle pressure on the central disc and outer skirt to ensure complete
appropriate measures to stop bleeding, and contact the physician. The ABThera adhesion of the Interface Pad.
Patient Size and Weight: The size and weight of the patient should be considered 4. Pull back on blue tab to remove pad stabilization layer (Fig. 15). ABThera Dressing
Negative Pressure Therapy System is not designed to prevent, minimize or stop
when prescribing the ABThera (NPT) System. Initial lower negative pressure should application is complete. See the PREPARATION FOR USE section.
bleeding.
be considered for certain small or elderly patients who are at risk of fluid depletion or
Hemostasis must be achieved prior to dressing placement. dehydration. Monitor fluid output including the volume of exudate in both the tubing
The following conditions may increase the risk of potentially fatal bleeding. and canister. This therapy has the potential to remove and collect large volumes of Fig. 3 Fig. 4
Fig. 2

1
Suturing and/or Anastamoses fluid. Tubing volume = approximately 25 mL from dressing to canister.

1
1
1
1
1
Trauma Spinal Cord Injury: In the event a patient experiences autonomic dysreflexia (sudden

2
Cutting Visceral Protective Layer to Size

2
2
Radiation changes in blood pressure or heart rate in response to stimulation of the sympathetic

2
1. Cut Visceral Protective Layer, away from wound, through center of large foam
Inadequate wound hemostasis nervous system), discontinue negative pressure therapy to help minimize sensory Fig. 12 Fig13 Fig.15
squares using sterile scissors (Fig 5A). Do not cut through narrow connecting tabs Fig.14
Non-sutured hemostasic agents (for example, bone wax, absorbable gelatin sponge, stimulation.
between the large foam squares.
or spray wound sealant) applied in the abdomen may, if disrupted, increase the risk of Bradycardia: To minimize the risk of bradycardia, the ABThera (NPT) System must
2. Pinch the remaining half of the foam square and its connecting tab and pull. The DRESSING REMOVAL
bleeding. Protect against dislodging such agents. not be placed in proximity to the vagus nerve.
foam and tab will separate at the next square (Fig. 5B). This will ensure that edges Remove and discard previous dressing per institution protocol. Completely inspect
Infection in the abdominal wound may weaken visceral organs and associated vasculature, Enteric Fistula or Leak: When treating an open abdomen where enteric fistulas of Visceral Protective Layer cover exposed foam edge (Fig. 5C), and foam cannot wound, including paracolic gutters, to ensure all pieces of dressing components have
which may increase susceptibility to bleeding. are present, clinicians should consider the potential for abdominal contamination if contact organs (see WARNING above). been removed.
Use of anticoagulants or platelet aggregation inhibitors. effluent is not appropriately isolated or managed.
NOTE: Document number of foam extensions removed and that each piece has been WARNING: Refer to "Dressing Removal" section under WARNINGS.
Bone fragments or sharp edges could puncture vessels or abdominal organs. Beware of Protect Periwound Skin: Consider use of a skin preparation product to protect properly disposed of away from wound cavity.
possible shifting in the relative position of tissues, vessels or organs within the abdominal periwound skin. Do not allow foam to overlap onto intact skin. Protect fragile/friable DRESSING CHANGES
CAUTION: Do not tear the foam over the wound, as fragments may fall into the
wound that might increase the possibility of contact with sharp edges. periwound skin with additional drape, hydrocolloid, or other transparent film. Dressing changes should occur every 24 to 72 hours, or more frequently based upon
wound. Rub or trim foam away from wound, removing any fragments to ensure loose
Use of Visceral Protective Layer: When using the Open Abdomen Negative Pressure Multiple layers of the drape may decrease the moisture vapor transmission rate, a continuing evaluation of wound condition and patient presentation. Consider more
particles will not fall into or be left in the wound upon dressing removal.
System, ensure that the Open Abdomen Visceral Protective Layer completely covers all which may increase the risk of maceration. frequent dressing changes in the presence of infection or abdominal contamination.
exposed viscera and completely separates the viscera from contact with the abdominal If any signs of irritation or sensitivity to the drape, foam, or tubing assembly Refer to "Application Setting" section under WARNINGS.
wall. Place the Visceral Protective Layer over the omentum or exposed internal organs, and appear, discontinue use and consult a physician. Whenever the Open Abdomen Dressing is changed, always replace all ABThera
carefully tuck it between the abdominal wall and internal organs, making sure the Visceral To avoid trauma to the periwound skin, do not pull or stretch the drape over the Dressing components with components from an unopened sterile package.
Protective Layer completely separates the abdominal wall from the internal organs. foam dressing during drape application.
Adhesions and Fistula Development: Formation of adhesions of the viscera to the If there are any questions regarding the proper placement or usage of the ABThera
Fig. 5 A B C REFERENCE LIST
abdominal wall may reduce the likelihood of fascial reapproximation and increase the risk of (NPT) System, please contact your local KCI Clinical Representative. Kaplan M. Managing the open abdomen. Ostomy Wound Management, 2004 Jan; 50(1A suppl); C2, 1-8
fistula development, common complications in patients with exposed viscera. Kaplan M, Banwell P, Orgill DP, Ivatury RR, Demetriades D, Moore FA, Miller P, Nicholas J, Henry S, Guidelines for the
ABThera OPEN ABDOMEN DRESSING APPLICATION INSTRUCTIONS
Infection: Infected abdominal wounds should be monitored closely and may require more PERFORATED FOAM APPLICATION Management of the Open Abdomen. WOUNDS. 2005 Oct; 17(Suppl 1); S1S24
ABThera DRESSING COMPONENTS Garner GB, Ware DN, Cocanour CS, Duke JH, McKinley BA, Kozar RA, Moore FA. Vacuum-assisted wound closure provides early
frequent dressing changes than non-infected wounds, dependent upon factors such as 1. Tear the Perforated Foam to the needed size along perforations. fascial reapproximation in trauma patients with open abdomens. The American Journal of Surgery, 2001 Dec; 182(6); 630-8
patient condition, wound condition and treatment goals. Refer to dressing application The foam should fit directly over the Visceral Protective Layer while Barker DE, Kaufman HJ; Vacuum Pack Technique of Temporary Abdominal Closure; A 7-Year Experience with 112 Patients.
Presented at the 59th Annual Meeting of the American Association for the Surgery of Trauma. September 16-18, 1999. Boston
instructions for details regarding dressing change frequency. still being in contact with all wound edges. Do not allow foam to Mass.
Dressing Placement: Always use an ABThera Dressing from a sterile package that has not contact intact skin. One or both pieces of the provided Perforated Brock WB, Barker DE; Temporary Closure of Open Abdominal Wounds; The Vacuum Pack. Presented at the 66th Annual
Scientific Meeting of the Southeastern Congress, Lake Buena Vista, Florida. February 6-10, 1994
been opened or damaged. Do not force any dressing component into the wound, as this may Foam can be used, depending on the wound profile.
Sherck J, Seiver A; Covering the Open Abdomen; A Better Technique. Presented as a Poster at the 66th Annual Scientific
damage underlying tissue. Visceral Protective Layer (1) Perforated Foam (2) 2. Gently place Perforated Foam into wound cavity over the Visceral Fig. 6 Meeting and the Postgraduate Course Program. Southeastern Surgical Congress. Atlanta, Georgia. January 31-February 4,
1998.
Dressing Removal: The ABThera Dressing components are not bioabsorbable. Always Protective Layer (Fig. 6). Ensure that Perforated Foam does not go
remove all dressing components from the abdomen at every dressing change. below the level of the abdominal incision or wound. Do not force foam into any *References available on request. Please call KCI at 1-800-275-4524
area of the wound.
Keep Negative Pressure On: Never leave the ABThera Dressing in place without active
negative pressure for more than 2 hours. If negative pressure is off for more than 2 hours, NOTE: Ensure foam-to-foam contact for even distribution of negative pressure.
change dressing as shown in these instructions for use. Either apply a new ABThera NOTE: Always note the total number of pieces of foam used and document on the
Dressing from an unopened sterile package and restart negative pressure; or apply an drape and in the patient's chart.
Drape (4) Tubing Set with Interface Pad (1)
alternative dressing.
ABThera OPEN ABDOMEN NEGATIVE PRESSURE THERAPY UNIT OPEN ABDOMEN NEGATIVE PRESSURE THERAPY UNIT PLACEMENT LEAK ALARM CONTACT INFORMATION
When the system senses an air leak, one amber LED light next to the
The ABThera Therapy Unit should not be opened, disassembled or otherwise modified
Hanger
Hanger Leak alarm icon will illuminate. An audible alarm, two consecutive Manufactured for: KCI Medical Products (UK) Ltd.
by the user, and should be replaced as a unit. All assembly, operations, adjustments, pulled out beeps repeating every 15 seconds, will sound during this alarm KCI USA, Inc.
modifications, maintenance and repairs must be carried out by authorized qualified personnel. Wimborne, Dorset, BH21 7SH
condition.
Electrical Shock Hazard - do not open any electrical cover on the Therapy Control Unit. Refer San Antonio Texas, 78219 United Kingdom
Alarm can be silenced for five minutes. See "Audio Pause Button" section for
to qualified service personnel. 1-800-275-4524 www.kci-medical.com
details.
THERAPY UNIT www.kci1.com
When alarm condition has been resolved, the LED will turn off.
Tubing Set Carry Vacuum Port The Therapy Unit is equipped with a hanger for footboard placement.
Connector Port Handle To Resolve this Alarm Condition: SYMBOLS USED
To place Therapy Unit on a footboard, pull out spring-loaded hanger on back of Press down firmly around the edge of the drape and Interface Pad to seal leak.
Patient Port unit. Place Therapy Unit over footboard and gently allow the hanger to retract. Use extra drape strips if necessary to reinforce the dressing.
If desired, Therapy Unit may be placed on a solid, level surface near the same level Do not use Date of
Check all tubing connections and canister caps for leaks. if package is Keep Dry Manufacture Type B Applied Part
as the patients abdomen. damaged or
LOW BATTERY ALARM
~800 cc (mL)

ABaequs ~700

open
Active Abdominal Healing

~600
1000 cc(mL) ~500

BEGINNING THERAPY
Canister

When the system senses a low battery condition, an amber LED on the Low
~400

150 ~300 150


2 SINGLE USE ONLY 100

Single use only


~200

2
125 50
CATALOG NO. 8002 055
SERIAL NO. 8002 055

Monitor Fluid Output: The ABThera Open Abdomen dressing is designed to Battery alarm icon will illuminate. Two consecutive beeps repeating every
2010-02 ~100
0 mmHg
Manufactured for:
~50

Manufacturer Biological Risk


100

Non Sterile
KCI USA, Inc.
San Antonio, TX 78219 USA
1-800-275-4524
www.kci1.com
~20
mmHg

NON
efficiently remove fluid from the abdominal compartment and to evenly distribute 15 seconds will sound during this alarm condition. STERILE

negative pressure. When treating patients with the ABThera (NPT) system, the volume The alarm can be silenced for five minutes. See Audio Pause Button for Refer to Conforms with Medical
Power and Therapy User Power Cord Hanger Battery Door Instruction Authorized Device Directive (93/42/EEC)
of exudate in the canister and tubing should be frequently examined. details. Lot Number EC REP Representative in the
On/Off Canister Interface Connector Manual 0473 and has been subject to
1. Ensure the Open Abdomen Dressing has been applied as described in the Open European community the conformity procedures
To Resolve this Alarm Condition: laid down in the council
Fig. 1 Abdomen Dressing Application Instructions in this guide. directive.
When the Low Battery alarm turns on, approximately one hour of therapy remains.
USER INTERFACE 2. Plug ABThera power cord into Therapy Unit. See Fig. 1 for power cord The Therapy Unit should be plugged into an AC power supply immediately. Not for Regular Consult Instructions Medical Equipment classified with respect to Electrical Shock,
Waste Disposal i for Use Fire and Mechanical Hazards Only in accordance with UL
CM

connection location. C US

Power and Therapy Blockage Alarm AUDIO PAUSE BUTTON 60601-1 and to CAN/CSA C22.2 No. 601.1.
3. Plug ABThera power cord into AC wall outlet. Power Connected Indicator on
On/Off Button Press Audio Pause Button" during an alarm condition to silence the CAUTION: Federal (US) law restricts this device to sale/rental by or on the order of a physician.
Leak Alarm the User Interface will illuminate with a blue backlight, see Fig. 2.
audible alarm for five minutes. An amber LED next to the button will
4. Press and hold the Therapy On/Off button, see Fig. 1, for two seconds to turn illuminate to indicate the audible alarm has been silenced.
150 150 Therapy Unit On and start therapy. The green light next to the Therapy On/Off Press the button again to reinstate the audible alarm. When the alarm SPECIFICATIONS
100 button will illuminate. condition has been resolved, the audible alarm will cancel automatically
Dimensions: 11.0H x 11.25L x 6.0D Electrical:
System Pressure 125 50 System Pressure NOTE: The system will automatically default to 125 mmHg. and the LED light will turn off. 27.94cm x 28.6cm x 15.2cm
Selection Panel
0 mmHg
Indicator Panel NOTE: The pump will begin running then slow down as it nears the selected pres-
100 sure. When selected pressure is reached, pump will stop running and only come on AC POWER/BATTERY Weight: Therapy Unit only 5.7 lbs/2.6 kg Power Supply Input
Power Supply Current ~ ~
100V - 240V , 50/60Hz
2.5 A max (100V)
to maintain pressure. ~
0.9A (100V ), 0.4A (240V )~
mmHg
5. Push the desired pressure on the system pressure selection panel, see Fig. 2; a
Pressure options 100-150mmHg, 13.3-20kPa Current Leakage <100 Microamps
green light next to the selection will illuminate.
Power Low Battery 6. With therapy on, assess dressing to ensure integrity of seal. Canister Volume 1000(cc/mL) Battery Run Life 2 hours (approximately)
Connected Alarm
Audio Pause Dressing should have a slightly wrinkled appearance when therapy is active. Environmental Conditions: Battery Charge Time 8 hours (approximately)
Indicator Battery Door
Power Cord
There should be no hissing sounds. Storage Conditions:
Temperature Range -20F (-29C) to 140F (60C) IEC Classification:
Fig. 2 If there is any evidence of an air leak around dressing or tubing connectors, refer Medical Equipment
Therapy Unit should remain plugged into an AC power source while in use or in Equipment not suitable for use in presence of flammable
1000(cc/mL) CANISTER to Leak Alarm in the Alarm section of this guide. Operating Conditions:
storage to keep batteries charged. anesthetic mixture with air, oxygen or nitrous oxide.
Temperature Range 50F (10C) to 100F (38C)
Canister used with the Open Abdomen Negative Pressure Therapy Unit is a STOPPING THERAPY/CHANGING THE CANISTER Therapy Unit operates on an auto-ranging AC/DC power supply with a hospital Type B Applied Part
800
single-use, latex free, non-sterile, 1000(cc/mL) clear container with graduated CAUTION: Follow Standard Precautions as the system may contain body fluids. grade power cord. Altitude Range:
600

400 markings at 100(cc/mL) increments up to 800(cc/mL). 1. Press and hold the Therapy On/Off button When fully charged the Therapy Unit will provide battery power, in order to Optimum Performance 0 to 8,000 feet (0 to 2438 m) IPX1
200

NOTE: Never reuse a canister. 3


50

for approximately three seconds to power maintain therapy during patient transport. Plug ABThera power cord into an AC *Specifications subject to change without notice.
off Therapy Unit 1. 4 power source immediately after transport to maintain battery charge.
PREPARATION FOR USE MANUFACTURER INFORMATION
When unplugged, Therapy Unit will switch from AC to battery power without
CONNECT TUBING SET/INTERFACE PAD TO CANISTER 2. Squeeze tubing clamp several clicks to For additional information concerning the ABThera Open Abdomen Negative Pressure Therapy
user intervention or therapy loss.
NOTE: Tubing Set is not compatible with hospital vacuum sources. close 2 . System, contact your local KCI representative or:
Battery will fully recharge in approximately eight hours.
Place canister lid onto canister. Place canister into Therapy Unit ensuring graduated 3. Lift up tubing set from Canisters Vacuum
AUTOMATIC SHUTDOWN
~800 (cc/mL)
ABThera ~700

Port 3 .
Active Abdominal Therapy

~600 1000 (cc/mL) Canister

markings on the canister can be viewed. Attach tubing set to canister lid, see picture and
~500

While operating on battery power, if battery charge falls below a critical level
~400 REF 370620/20
Manufactured for:

150
KCI USA, Inc.
San Antonio, TX 78219 USA ~300 150

4. Pull tubing set away from Canisters KCI USA, Inc.


2 100

steps 1-5 below.


~200
125 i 50
~100 0 mmHg

(approximately two hours or, one hour after low battery alarm sounds) the Therapy
ABThera
Rx only

100

2
~50 LOT /SERIAL NO. 8KC-

~20

Patient Port 4 and Cap Tubing Set San Antonio, Texas


yyyy/mm
mmHg

2 Canister Vacuum Port 1 Unit will automatically turn off. When plugged into an AC outlet, the Therapy Unit
78219 USA
using tethered cap. will remain Off until the Power On/Off button is pressed at which time therapy will
Active Abdominal Therapy 1-800-275-4524
1 Canister Patient Port 5. Ensure caps on canisters lid are secured before removing canister. Canister resume (refer to "Keep Negative Pressure On" under WARNINGS). See also Low
5 Vacuum Port does not have a cap, canister filter prevents fluid from exiting. Battery Alarm in the Alarm section. www.kci1.com
Canister Port 6. Lift canister straight up and out of therapy unit. CARE AND CLEANING
Tubing Clamp
7. To continue therapy, insert new canister. Never reuse a canister. Between patient use and if the product becomes soiled while in use in the hospital
4 8. Connect Tubing Set to Canister, restart therapy. (see Preparation for Use section). or other healthcare organization, disinfectants containing quaternary ammonium Rx only
Inline Filter NOTE: Tubing set is included with dressing kit and replaced at time of dressing
~800
ABThera
(cc/mL)

~700
compounds or other similar disinfectant products may be used to clean the
change. ABThera Therapy Unit. All visible organic material should be cleaned from the
Active Abdominal Therapy
KCI Medical Products (UK) Ltd. Wimborne, Dorset, BH21 75H UK

~ 600 1000 (cc/mL) Canister


~500

NOTE: The system will automatically default to 125 mmHg.


Canister Lid
~ 400
device prior to disinfection. Use personal protective equipment (PPE) and hand
REF 370620/20
Manufactured for:
KCI USA, Inc.
San Antonio, TX 78219 USA ~ 300

Interface Pad
2 Single Use Only

9. Dispose of the canister according to local hospital or facility protocols. hygiene protocols in accordance with local protocols for cleaning and disinfection.
0473
~ 200 LATEX i
0473

Rx only ~100

Canister ~ 50 LOT /SERIAL NO. 8KC-

~20

An additional supply of dressings and canisters may be ordered by calling your local
370561
yyyy/mm

A
Rev A

KCI representative or 1-800-275-4524. CAUTION: Avoid spilling liquid on any part of the Therapy Unit. Liquids remaining
3 ALARMS
on electronic controls can cause corrosion which can cause the electronic controls to
150 150
100 fail. Component failure may cause the Therapy Unit to operate erratically, possibly
B
125 50

100
0 mmHg
BLOCKAGE/CANISTER FULL ALARM causing a potential hazard to patient or care providers.
mmHg

When the system senses a blockage or canister full condition, an amber


LED light next to the Blockage/Canister Full alarm icon will illuminate.
Tubing Set Connector Port Tubing Set Two consecutive beeps repeating every 15 seconds will sound during
this alarm condition.
1. Slide Tubing Set onto Canister Patient Port 1 .
Alarm can be silenced for five minutes. See Audio Pause Button section for details.
2. Push Tubing Set down onto the Canister Vacuum Port 2 .
When alarm condition has been resolved, the LED will turn off.
3. Plug Tubing Set into connector port; the release latch on the connector port must
To Resolve this Alarm Condition:
be in the down position "A" before tubing is plugged in, see 3 A & B above, a
click will indicate proper connection. Push release latch down to unplug tubing set. Check for a full canister
All trademarks designated herein are proprietary to KCI Licensing, Inc. its affiliates and licensors. KCI
Check for kinked or pinched tubing and straighten trademarks designated with the symbol are registered in at least one country where this product is
4. Ensure Tubing Clamp is open 4 . commercialized, but not necessarily in all such countries. The ABThera Open Abdomen Negative Pressure
Ensure tubing clamp is open
5. Ensure Canister Access Port Cap is securely in place 5 . Canisters Access Port is for Therapy System is patented and/or subject to pending patent.
adding isolyzer (not provided by KCI). 2009 KCI Licensing, Inc. All rights reserved. 370552 Rev C 06/09

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