Ambu VivaSight 2 DLT 35 Fr Mode D'emploi page 10

9. Verify that a correctly oriented live video image appears on the screen by pointing the
distal end of VivaSight 2 DLT towards an object, e.g. the palm of your hand 6 . Adjust
the image preferences if necessary (please refer to the Ambu displaying unit instruction
for use). If the object cannot be seen clearly, wipe the lens at the distal end using a sterile
cloth or a swab containing alcohol.
4.2. Operating VivaSight 2 DLT
Intubation
1. Prior to intubation, secure the wire and tubes around or in your hand to prevent the
connectors from falling into the patient's face or eyes during intubation.
Introduce VivaSight 2 DLT orally. 7
2.
3. Advance VivaSight 2 DLT with the tip facing upward until the bronchial cuff is just
through the vocal cords. 8a
4. Remove the stylet. 8b
5. Turn the tube 90 degrees counterclockwise until you can see the vocal cords facing
upwards on the displaying unit. 8c
6. While observing the live image on the displaying unit, advance the tube further until the
final position is reached with the bronchial tube placed in the left main bronchus. 8d
7. Inflate the cuffs up to a maximum pressure of 30 cm H₂O. Verify the position of the tube
on the displaying unit 9 . If the patient is moved after intubation, make sure to re-verify
the position of the tube on the displaying unit.
8. Secure the VivaSight 2 DLT and the breathing circuit according to local guidelines.
Using the Y-connector
1. Connect the Y-connector to VivaSight 2 DLT. Ensure that the blue bronchial airway tube
on the Y-connector is connected to the blue bronchial tube on VivaSight 2 DLT and the
transparent tracheal airway tube on the Y-connector is connected to the transparent
tracheal tube on VivaSight 2 DLT. 10
Connect the Y-connector to the ventilation system. 10
2.
3. The Y-connector has an arrow printed on both the tracheal and the bronchial airway
tube indicating the flow of air. An identical arrow is printed on the rotating switch
connected to each of the two tubes. When the arrow on the rotating switch and the
arrow on the tube are pointing in the same direction, the tube is open for ventilation.
4. Stop ventilation of one lung by turning the rotating switch 180° until the arrows are
pointing in opposite directions.
5. To deflate the non-ventilated lung, open the cap on top of the Y-connector.
6. If applicable, resume lung ventilation of the collapsed lung by closing the cap
turning the rotating switch 180° until the arrows are pointing in the same direction
Cleaning the Camera Lens
If the VivaSight 2 DLT camera lens becomes soiled or obscured by secretions, it can be cleaned
by injecting air and saline, where permitted by institutional policy, into the flush port.
1. Open the flush port lid.
2. With a 5 ml syringe, inject 3 ml air into the flush port and then check image clarity.
3. With a 5 ml syringe, inject 3 ml saline into the flush port and then check image clarity.
4. If the live image on the Ambu displaying unit is still unclear repeat step 2 and 3.
5. Close the flush port lid.
Use of Accessories and Other Devices
When using devices inside VivaSight 2 DLT, always perform a compatibility check between
VivaSight 2 DLT and the device according to section 4.1 step 4. Inspect the accessory or other
device before using it. If there is any irregularity in its operation or external appearance,
replace it.
Extubation
1. Disconnect the lung ventilation system.
2. Deflate the cuffs completely.
3. Slowly withdraw the tube.
10
11a
13a
13b
11b
and
12a
.
12b