Placement Procedure

Question 1

Step 1 in placement

Answer 1

Grasp handle of scalpel just above blade with tip of thumb and index finger like a pencil.

Question 2

Step 2 in placement procedure

Answer 2

Make a single incision - downward puncture motion - 5 mm deep no wider than the blade

Question 3

Step 3 in placement procedure

Answer 3

Grasp handle of placement tool with bevel of cannula up and blue actuator button in forward position

Never use placement tool without placement guide

Question 4

Step 4 in placement procedure

Answer 4

Rotate clear placement guide on top of cannula so window is visible

Question 5

Step 5 in placement procedure

Answer 5

Depress skin to open incision. Place cannula flat on abdomen. Pick up edge of incision with tip of cannula

Question 6

Step 6 in placement procedure

Answer 6

Advance placement tool forward, keeping blue actuator button in forward position

• apply negative traction as needed to clear guide and keep skin taut
• follow contour of abdomen and maintain parallel approach
• if resistance, twist tool back and forth while advancing

Question 7

Step 7 in placement procedure

Answer 7

Stop advancing when black indicator band on cannula reaches incision

Question 8

Step 8 in placement procedure

Answer 8

Stabilize placement tool with both hands and completely retract blue actuator button

Question 9

Step 9 in placement procedure

Answer 9

Withdraw placement tool from incision and confirm plunger is visible

• visible white plunger indicates ITCA 650 was successfully discharged

Question 10

Step 10 in placement procedure

Answer 10

Palmate both ends of ITCA 650 device to ensure it is placed superficially

Question 11

Step 11 in placement procedure

Answer 11

Apply direct pressure to incision site with sterile gauze pads.
Ensure homeostasis

Question 12

Step 12 in placement procedure

Answer 12

Crush capsule of liquid adhesive and apply to both sides of incision

Question 13

Step 13 in placement procedure

Answer 13

Oppose both sides of incision and close with wound closure strips

Question 14

Step 14 in placement procedure

Answer 14

Cover with sterile adhesive bandage parallel to patients beltline

Question 15

Discharge instructions 1-4

Answer 15

1 keep incision area clean and dry for 24 hrs
2 avoid strenuous activity and heavy lifting for 24 hrs
3 do. It touch or manipulate the ITCA 650 as it may slow healing or cause device to be expelled
4 allow wound closure strips to fall off naturally

Question 16

Last step in placement

Answer 16

Discard placement tool and other sharps in sharps container after procedure