Qufora 1116627 IrriSedo Klick Flow System Instruction Manual
Explaining the system
System components
Rectal catheter
with a hydrophilic coating and a water inflated balloon
- the catheter is single-use
Pump and control unit
with fixation strap
- can be used 90 times
Click tube
- can be used up to 1 month (15 times for irrigation every second day and 30 times for irrigation every day)
Water bag – 1500 ml with a
tube and a valve
- can be used up to 1 month (15 times for irrigation every second day and 30 times for irrigation every day)
System when assembled
Preparing the system for use
- Wash and dry your hands.
- Before you start, make sure the valve on the water bag tube is closed – lever is parallel to the tube.
- Hold onto the neck of the water bag and fill the water bag with luke warm tap water (36-38° C) by holding it under the tap with the lid open (you will need more water than you need for your irrigation to prepare your system, approximately 100- 300 ml water).
- Once the water bag is filled with the required amount of water, continue to hold onto the neck of the water bag and press down on the flip lid until it is closed.
- Connect the water bag tube to the pump.
- Connect the click tube to the control unit – when you hear a click it is connected.
- The water bag can be placed anywhere between floor and shoulder height fromyour sitting position. 7a)
It can be placed on the floor or, 7b)
hanging by the handle.
Filling the system with water - Open the catheter pouch at the perforated line. Whilst the catheter is still in the pouch connect the click tube to the catheter – when you hear a click, it is connected. Take the catheter out without touching the hydrophilic coating.
- Attach the empty pouch to a surface using the sticky area on the back of the pouch.
- Turn the control unit to position 1.
- Hold the pump with the control unit pointing upwards (11a)
and open the valve on the water bag tube (11b).
Squeeze the pump until it is full of water so that no air is left and water comes out of the catheter (11c).
- Pause the system by turning the control unit to the dot position between 1 and 2.
- Hold the catheter under the tap or dip it in water up to its base for a few seconds to activate the hydrophilic coating. The system is now ready for use.
Using Qufora IrriSedo Klick - Sit on or over the toilet. If required, fasten the control unit to your thigh or wheelchair, using the fixation straps.
- Carefully insert the catheter into the rectum, supporting the catheter at its base.
- Turn the control unit clockwise to position 2. Squeeze the pump two to three times (maximum of five complete pumps) to inflate the balloon with water (16a)
until the catheter holds in the rectum by itself (16b).
Your healthcare professional will advise you on this. - Turn the control unit clockwise to position 3. Water can now be instiled into the bowel.
If the water bag is hanging, you can either pump the water into the bowel or you can let the water flow into the bowel using gravity. If the water bag is placed lower than the toilet seat, squeeze the pump to instil water into the rectum. If you need to stop the flow turn the control unit to the dot between 3 and 4. To resume irrigation, turn the control unit back to position 3.
- The amount of water flowing into the bowel can be monitored by using the scale on the water bag. Your healthcare professional will guide you regarding the amount of water to use for your irrigation. A general guide is 500 ml (this will vary for children) however this may be more or less depending on your requirement. If you feel any discomfort, do not instil more water into the bowel. Stop the flow by turning the control unit to the dot between 3 and 4.
- When you have instiled the required amount of water into the bowel, turn the control unit clockwise to position 4. The balloon will now deflate and the catheter can be carefully removed from the rectum. Water and faecal matter will now be expelled. If this does not happen immediately, try coughing or leaning forward.
- Close the valve on the water bag tube (lever is parallel to the tube).
Emptying and disassembling the system - Click-off the used catheter into the grey pouch by pressing the purple button. Hold the tube upwards to prevent water spillage. The pouch can be folded and sealed using the sticky area, then disposed of in household waste.
- Place the system in the sink for emptying, separating and cleaning.
- Separate the parts by clicking and pulling the connectors apart.
- Empty the water from the system. To empty the control unit and the pump, turn the control unit to position 1 and let the water run out through the control unit (24a).
To empty the water bag, open the valve on the water bag and let the water run through the tube (24b)
or open the lid on the water bag and empty the bag through the opening (24c).
Cleaning and storing after use - If required, all external surfaces of the system can be cleaned with lukewarm water and mild soap. Dry with a lint free cloth.
- Hang the system to dry with the water bag lid and the valve on the water bag tube open and leave the control unit in position 1.
- Wash and dry your hands.
Instructions for use
Qufora IrriSedo Klick
Using the Qufora IrriSedo Klick makes it possible to perform transanal/rectal irrigation. Please read both pages of this instructions for use before using the Qufora IrriSedo Klick.
Indications for using transanal/rectal irrigation
The Qufora IrriSedo Klick is intended for adults and children 3 years and above to help manage faecal incontinence and/or constipation conditions.
For example:
- Urge faecal incontinence/urgency
- Constipation (slow transit/idiopathic/ opioid induced/IBS-C)
- Neurogenic (spinal cord injury, upper/lower motor neurone/MS/ parkinson’s/spina bifida/cauda equina)
Within these groups some individuals may require the support of a carer to perform the procedure.
Use as advised by your healthcare professional
For the best results Qufora IrriSedo Klick should be used regularly as advised by your healthcare professional.
Before starting transanal/rectal irrigation
Use only after assessment and training from a qualified healthcare professional. A digital rectal examination is mandatory prior to your first irrigation. You should be supervised by an experienced healthcare professional during your first irrigation.
Tra sanal/rectal irrigation should not be used under the following circumstances (absolute contraindications):
- Known anal or colorectal stenosis
- Colorectal cancer/pelvic malignancy pre surgical removal
- Acute inflammatory bowel disease
- Acute diverticulitis
- Within 3 months of anal or colorectal surgery
- Within 4 weeks of endoscopic polypectomy
- Ischaemic colitis
Since the list is not exhaustive a healthcare professional should always consider individual patient factors as well.
Please note:
Transanal/rectal irrigation is not recommended for:
- Pregnancy or planned pregnancy or breastfeeding
- Children under 3 years of age
Use transanal/rectal irrigation only after careful discussion with a relevant medical practitioner under the following circumstances (relative contraindications):
- Inflammatory bowel disease (e.g.
Crohn’s disease or ulcerative colitis) - Active perianal sepsis (fistula or abscess, third or fourth degree haemorrhoids)
- Previous rectal or colonic surgery
- Diarrhoea of unknown aetiology
- Faecal impaction/rectal constipation
- Severe autonomic dysreflexia
- Severe diverticulosis or diverticular abscess
- Abdominal or pelvic irradiation
- Long term steroid therapy
- Anti-coagulant therapy
- Low blood sodium
- Previous severe pelvic surgery
- Colonic biopsy within the past 3 months
- Use of rectal medications for other diseases which may be diluted by irrigation
- Congestive cardiac failure
Warning
Seek medical attention if the following is experienced during or after transanal/rectal irrigation:
- Sustained or severe bleeding from the rectum
- Sustained or severe abdominal or back pain, with or without fever
Perforation of the bowel wall is extremely rare. However it is a serious and potentially fatal complication of transanal/rectal irrigation. Should this occur, immediate medical attention is required.
Please observe
Transanal/rectal irrigation can be associated with passing sensations of bowel discomfort, nausea, shivering, fatigue, sweating, headache and light bleeding from the rectum.
Please contact your healthcare professional for further advice.
Recommended usage time
The water bag and click tube can be used up to 1 month (15 times for irrigation every second day and 30 times for irrigation every day). The pump and control unit can be used 90 times.
Should discolouration develop on any part of the system within the recommended usage time, the part should be replaced.
The Klick catheters are single-use only
If the single-use items of the product are reused, there is a risk of unwanted effects that can influence the function of the product and the health of the patient, the carers and third persons.
Liability
Qufora A/S accepts no liability for any injury or other loss that may arise if this product is used in any way contrary to the recommendations of Qufora A/S.
If any serious incident has occurred you should contact your healthcare professional who will liaise with Qufora A/S and the competent authority.
Please find further information about this product on www.qufora.com.
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Tel: +45 88 300 592
info@qufora.com
www.qufora.com
Documents / Resources
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Qufora 1116627 IrriSedo Klick Flow System [pdf] Instruction Manual 1116627, 1116627 IrriSedo Klick Flow System, IrriSedo Klick Flow System, Klick Flow System, Flow System, System |
