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c. Catheter Initialization Process
Reminder: Refer to your specific Camino
Monitor User Manual for information regarding
initializing procedure.
Using the Camino Advanced Monitor
fitted with a Camino Flex Adapter
Once the Catheter is connected to the Adapter
by way of the Extension Cable, the LED on the
Adapter will change from flashing yellow to
solid yellow, signaling the start of the catheter
initialization process. This process will take
approximately 30 seconds. During this time,
the ICP "mmHg" display will countdown from
approximately 30 to 0. After the countdown is
completed and the Monitor screen displays "0
mmHg" (±1 mmHg), the Adapter LED will flash
green. If this value does not read "0 mmHg"
(±1 mmHg), please refer to Section 6 of the
Adapter User Manual for troubleshooting
information.
Prior to implantation of the catheter press
to complete the zeroing process. The
flashing green LED light will change to a solid
green light and an ICP value will be displayed
on the Monitor.
Notice: After the
ICP value displayed on the Monitor may not
read "0 mmHg". The ICP sensor is responsive
to the fluid environment of the brain. When the
button is pressed, an offset is applied to
compensate
for
compensation will not affect the ICP reading.
Using the Camino ICP and Temperature
Monitor
Connect the Catheter to the monitor by way of
the Camino Flex Extension Cable (FLEXEXT).
The touch screen will indicate that it is being
initialized. A message will appear stating that
"The Catheter has been successfully initialized
and is ready for implantation". Select "Accept"
on the touch screen to complete the
initialization process for the Catheter. Note that
the ICP reading will self adjust when the
Catheter is implanted. This process will take
approximately 10 seconds. If the monitor
reports a "Catheter Failure" message in the
status bar, discard the catheter and replace
with a new one.
NOTE: The Camino Flex Ventricular Catheter
can be disconnected from the Camino Flex
Extension
Cable
implantation procedures. This will prevent
monitor alarms from being triggered by sudden
changes in pressure that may occur.
button is pressed, the
this
small
effect.
during
tunneling
d. Catheter Implantation
Using the Camino Advanced Monitor
fitted with a Camino Flex Adapter:
Refer to your Adapter User Manual for
instructions
"Check Catheter Connection" messages that
may occur during Catheter implantation.
Using the Camino ICP and Temperature
Monitor:
If "Catheter Failure" message appears in the
status bar, discard and replace the catheter.
NOTE: To minimize the risk of surgical site
infections, it is recommended to prepare the
surgical area in accordance with evidence-
based guidelines, such as Mangram et al.
Guideline for Prevention of Surgical Site
Infection, 1999. Infection Control and Hospital
Epidemiology, 20(4), pp. 257-258 and Nichols
RL. Preventing Surgical Site Infections: A
Surgeon's Perspective. Emerging Infectious
Diseases. 7(2), Mar-Apr 2001.
•
Use an appropriate antiseptic agent
available for preoperative preparation of
the skin at the incision site. Members of the
surgical team who have direct contact with
the
sterile
instruments, or supplies used in the field,
should wash their hands and forearms by
This
surgical scrubbing immediately before the
procedure for at least 2-5 minutes. After
scrub, keep hands up and away from body.
Dry hands with a sterile towel and then put
on a sterile gown and gloves.
•
To reduce the risk of infection, the use of
depilatory agents or no hair removal is
recommended. If shaving or clipping is
performed,
immediately
preferably with electric clippers.
•
The skin should be free of gross
contamination.
1. Select a Catheter insertion site for access
to the ventricle.
2. To prepare the entry site, it is recommended
to follow evidence based guidelines, such
as Mangram et al. Guideline for Prevention
of Surgical Site Infection, 1999. Infection
Control and Hospital Epidemiology, 20(4),
and
pp. 257-258.
3. Apply an antiseptic in concentric circles
beginning in the area of the proposed
incision. The prepared area should be
large enough to extend the incision or
create new incisions, if necessary. The
skin preparation procedure may need to be
modified depending on the condition of the
skin or location of the incision site.
regarding
troubleshooting
operating
field,
shave
or
clip
before
the
sterile
the
area
operation,
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