External CSF Drainage System

This chart is not intended to replace the Instructions for Use as described in the AccuDrain™ External CSF
Drainage System product insert. Please use the following steps as a guide while familiarizing responsible
medical personnel with the set-up and operation of the system as directed in the Instructions For Use.
Always use sterile technique when handling the CSF drainage system.

-1- -3-
ATTACHING THE SYSTEM SETTING THE PRESSURE LEVEL
TO POLE AND SECURING THE SYSTEM
I II
I II

Suspend the drainage system from the IV Secure the drainage system to the IV pole
pole using the cord lock. attachment feature by pressing the white
clamp behind drainage system. Attach line level to zero Press the white clamp behind
reference on the panel mount. the drainage system to move the
Place the zero reference at the system up or down the pole.
external landmark of the patient
as ordered by the physician
AccuDrain™ SET-UP WITH A FLUSHLESS EXTERNAL TRANSDUCER

(i.e., Foramen of Monro for

-2- ventricular catheters).

PRIMING THE SYSTEM

(this is completed prior to attaching tubing to
ventricular or lumbar catheter)
WITH A FLUSHLESS III IV

EXTERNAL TRANSDUCER
(External transducer is NOT provided by Integra)

I II

Once system is level with the patient, Increase or decrease the height of
tighten the suspension cord over the the pressure level (noted on the
IV pole so that the suspension cord graduated burette) by
is taut. Ensure AccuDrain is securely manipulating the Squeeze-Lok™
attached to the pole by pulling the to move the burette up or down
security straps, located on the top relative to the patient. When
and bottom of the panel mount, adjusting the height of the
To set up the system, first check that all Attach transducer to manifold
over the IV pole. drainage system or burette, the
fittings on the AccuDrain are tightened. stopcock. Cap open end with
stopcock should be “off” to the
When using an ICP external transducer the sterile red end cap. Follow
patient.
remove the red end plug on the manifold, instructions for use from
maintaining sterility. transducer manufacturer.

III IV

-4- -5-
DRAINING CSF MONITORING
ICP
CAUTION: Method of transducer
calibration may be affected by the
presence of a one-way valve.

Suggested starting point: Turn the patient Turn the external transducer
line stopcock “off” to the external stopcock “off” to external transducer
transducer. Remove sterile end cap from and the stopcock proximal to the
patient line. Attach 10ml syringe filled with drainage bag “off” to the graduated
preservative free normal saline to the burette. Prime tubing towards the
patient line stopcock port and prime toward graduated burette allowing 2-3ml of
the patient line. Replace sterile end cap preservative free normal saline to
once patient line is primed. Re-orient the collect in the burette. Turn the stopcock
stopcock “off” to the patient line. Keeping proximal to the drainage bag “open” to
the 10ml syringe attached, turn the external drain, allowing 2-3ml of preservative free
transducer stopcock “off” to the graduated normal saline to collect in the drainage bag.
burette and prime tubing towards and Remove the 10ml syringe from patient line
through the external transducer. stopcock and replace with sterile end cap. In order to drain CSF continuously, Zero the transducer to atmosphere
turn the external transducer per your facility’s policies and
stopcock “off” to external trans- procedures before use. If closed
ducer. Ensure the CSF is draining system pressure monitoring and
directly from the patient line to waveforms are desired, the
the graduated burette. AccuDrain System should be
temporarily closed to drainage.
Turn stopcock “off” to the burette to
stop flow to burette. Note: re-orient
stopcock to resume drainage.

USA and Canada England France Germany

800-654-2873 +44 (0) 1264 345 700 +33 (0) 493 95 56 00 0800 10 10 755
609-275-0500 (outside the USA) +44 (0) 1264 332 113 (fax) +33 (0) 493 65 40 30 (fax) 06995 775 477 (fax)
609-275-5363 (fax)

© 2005 Integra LifeSciences Corporation. All Rights Reserved. The Integra wave logo , AccuDrain and squeeze-lok are trademarks of Integra LifeSciences Corporation. Printed in USA NS831 (04/05) 5K
 External CSF Drainage System
This chart is not intended to replace the Instructions for Use as described in the AccuDrain™ External CSF
Drainage System product insert. Please use the following steps as a guide while familiarizing responsible
medical personnel with the set-up and operation of the system as directed in the Instructions For Use.
Always use sterile technique when handling the CSF drainage system.

-1- -3-
ATTACHING THE SYSTEM SETTING THE PRESSURE LEVEL
TO POLE AND SECURING THE SYSTEM

I II I II

Suspend the drainage system from the Secure the drainage system to the IV Attach line level to zero Press the white clamp behind
IV pole using the cord lock. pole attachment feature by pressing reference on the panel mount. the drainage system to move the
the white clamp behind the drainage Place the zero reference at the system up or down the pole.
system. external landmark of the patient
as ordered by the physician
(i.e., Foramen of Monro for
ventricular catheters).

III IV

-2-
PRIMING THE SYSTEM
(this is completed prior to attaching tubing to
AccuDrain™ SET-UP

ventricular or lumbar catheter)

Once system is level with the patient,
I tighten the suspension cord over the
IV pole so that the suspension cord
is taut. Ensure AccuDrain is securely
attached to the pole by pulling the
security straps, located on the top
and bottom of the panel mount,
over the IV pole.
Increase or decrease the height of
the pressure level (noted on the
graduated burette) by
manipulating the Squeeze-Lok™
to move the burette up or down
relative to the patient. When
adjusting the height of the
drainage system or burette, the
stopcock should be “off” to the
patient.

To set up the system, first check that all fittings on the

Accudrain are tightened. Turn the patient line stopcock
“off” to drainage line. Remove sterile end cap from the
patient line. Attach 10ml syringe, filled with
preservative free normal saline, to the patient line
stopcock port and prime tubing towards the patient line.
Replace sterile end cap once patient line is primed.
Re-orient the stopcock “off” to patient line.

-4-
II DRAINING CSF

Keeping the 10ml syringe attached, turn panel mount

stopcock “open” to graduated burette and the stopcock
proximal to the drainage bag “off” to the drainage bag.
Prime tubing allowing 2-3ml of preservative free normal
saline to collect in the graduated burette. Turn the stopcock
proximal to the drainage bag “open” to drain 2-3ml of In order to drain CSF continuously, turn the
preservative free normal saline into the drainage bag. panel mount stopcock “off” to the sterile red
Remove 10ml syringe and replace with sterile end cap. end cap. Ensure CSF is draining directly from
the patient line to the graduated burette.

USA and Canada England France Germany

800-654-2873 +44 (0) 1264 345 700 +33 (0) 493 95 56 00 0800 10 10 755
609-275-0500 (outside the USA) +44 (0) 1264 332 113 (fax) +33 (0) 493 65 40 30 (fax) 06995 775 477 (fax)
609-275-5363 (fax)

© 2005 Integra LifeSciences Corporation. All Rights Reserved. The Integra wave logo , AccuDrain and Squeeze-Lok are trademarks of Integra LifeSciences Corporation. Printed in USA NS831 (04/05) 5K