Transcript Tru-CloseTM Thoracic Vent

Nursing Instructions for the
Tru-Close® Thoracic Vent
Tru-Close Thoracic Vent
The Tru-Close Thoracic Vent has been designed for the
treatment of spontaneous, traumatic or iatrogenic simple
pneumothorax.
Managing the Patient
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The self-sealing, self-contained device should be in direct
contact with the skin.
No part of the catheter should be visible.
An airtight seal must be maintained to prevent subcutaneous
emphysema.
Do not adjust the position or remove the Thoracic Vent under
any circumstances.
Avoid direct contact with water as in showering.
If skin irritation is observed, notify a physician.
Cap the self-sealing port when not in use.
Managing the Patient (cont.)
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Using a stethoscope, one should be able to hear normal breath
sounds on the affected side as the lung is re-expanded.
Any absence of breath sounds can indicate a failure of lung reexpansion. Notify a physician.
Do not disinfect the Thoracic Vent with alcohol (propanol).
Alcohol will degrade the vent.
Always clamp the suction tubing set when suction is not being
applied.
The unit vents air through small slots/openings at the top and
the bottom of the vent box just behind the front panel. If you use
tape to secure the vent do not cover these venting slots.
Managing the Patient (cont.)
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The device is not designed for
treatment of hemo or hydro
pneumothorax.
Notify a physician if excessive amounts
of blood or other liquid is observed in
the vent box.
If small amounts of fluid accumulate in
the device it can be removed via the
drainage port at the bottom of the
device using a syringe.
The Function of the Red Signal
Diaphragm
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The “Red Signal Diaphragm” indicates the
presence of the pneumothorax.
 Deflects upward when the pressure in the
pleural space is positive (>2mm Hg)
 Deflects downward when the pressure is
negative (<2mm Hg).
 Normal intrapleural pressure is constantly
negative.
 When the diaphragm stays in the
downward position the pneumothorax may
be resolved (notify a physician).
External Suction Attachment
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If attachment to a suction system is desired,
remove the suction tubing set from its
pouch.
Close the clamp on the tubing set before
inserting the cannula into the self-sealing
port on the front of the Vent
Lock the cannula in place by twisting the
luer lock.
Attach the funnel end to the suction system
and then open the clamp.
Appropriate evacuating pressures should be
used. Do not exceed a 14.7 mm Hg (-20 cm
water) vacuum.
Always clamp the suction tubing set when
suction is not being applied to the Thoracic
Vent.
If the suction tubing set is no longer
required, remove it and immediately seal the
self-sealing port with the tethered cap.
Aspiration of Fluid from the Vent
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The Tru-Close Thoracic Vent is designed
to treat simple pneumothorax and not
recommended for hemo or hydro
pneumothorax.
Considering the above, all
pneumothoracies do produce small
amounts of fluid.
The vent is designed to hold small
amounts of fluid not in excess of 5cc.
Small amounts of fluid that accumulate in
the vent box can be aspirated through the
needle-less port at the bottom of the vent
box using a luer lock syringe.
Conclusion
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When using the Tru-Close Thoracic Vent always refer to the IFU
contained in the product package.
For additional information please review the Thoracic Vent inservice video.
If you have technical questions relating to the Tru-Close
Thoracic Vent please contact UreSil Customer Service at
(800) 538-7374.
Thank You