Adapters Basic Overview

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What Is a Wound? A wound drain is typically a plastic tube that provides a way for unnecessary body fluids or air to flow out of the body from a wound. The purpose of the drain is to remove fluid and/or blood from the area of surgery. This helps the healing process. One end of the wound drain is placed within the wound and the other end may be connected to a suction collection device. The fluid may be collected in a drainage bag, plastic bulb, plastic carton, or onto a dressing. http://www.icu-usa.com/tour/ equipment/wound_drain.htm What Types Of Surgeries Are Wound s Commonly Used In? Surgical Procedure Surgical Small Bore Large Bore x2 s Total Hip Replacement Ortho X Total Knee Replacement Ortho X X Spine Ortho/Neuro X Craniotomy Neuro X Radical Mastectomy General X X X ial Mastectomy General X X Abdominal General X X Colon General X Gastric Resection General X Appy General X Epigastric herrnia General X Abdominoplasty Gen/Plastic X X Breast Reduction Plastic X X Radical Neck ENT X X Thyroidectomy ENT X X INTRODUCTION What Type Of s Does Bard Have For These Types of Surgeries? Bard has Channel drains, perforated silicone and PVC drains. These are typically attached to a suction device. This could be a bulb evacuator, a three-spring evacuator or wall suction. Common terms you may here are: n Bulb Evacuator n Grenade, JP n Three Spring Evacuator n Pancake To attach the drain to the evacuator you may need to use an adapter. Many of our drains are packaged with multiple adapters. Why? The different adapters typically allow you to connect to both Silicone and PVC evacuators Extra adapters may be provided to allow the user to connect multiple drains to an evacuator (example - double round drains) Basic Overview To determine if an adapter is needed, you will need to know some basic information.. What are the drain and evacuator made out of? 2. What is the size of the drain?. For PVC evacuators, what type of Y-Connector are you using? 4. Are you using a kit?

. Type of s s and evacuators are made out of either silicone or PVC. Here are examples of our products. DRAINS SILICONE EVACUATORS DRAINS PVC EVACUATORS 2. of The general rule of thumb says when connecting like materials, no adapter is needed. Silicone g Silicone Bulb Evacuator g Typically No Adapter Required The Exception: If the drain is very large or very small, an adapter is needed to fit it on the evacuator General Rules- When do I use an adapter? DRAIN SIZE ADAPTER REQUIRED? TYPE OF ADAPTER /2in, /8in 0Fr Yes Connecting like material requires no adapters Silicone g Silicone Bulb Evacuator g No Adapter Required PVC g PVC Evacuator (-Spring/Reliavac Evacuator) g No Adapter Required Connecting unlike material requires an adapter Silicone g PVC Evacuator (-Spring/Reliavac Evacuator) g Adapter Always Required /6in, /4in 5Fr, 9Fr, 0mm, 7mm 9Fr (Channel Hubless Round) 24Fr,28Fr,2Fr No Yes. Type of Evacuator Y-Connector Once again, the general rule of thumb says when connecting like materials, no adapter is needed. PVC g PVC Evacuator (-Spring/Reliavac Evacuator) g No Adapter Required The Exception: If you use a Reliavac evacuator, an adapter may be needed The reason, the Three Spring Evacuator has a Crab Claw Y-connector that can be cut to customize the end to fit the PVC drain The Reliavac evacuator does not 4. Are you Using a Kit? Many of our kits are customized for the type of drain and evacuator. The appropriate adapter may already be attached. In the case of the Reliavac evacuator, the kits may actually have a smaller Y- connector that is customized for the drain. In this case an adapter is not needed. If not, use the rules defined above. INTRODUCTION

Channel s Following is detail information about what adapters Shape Dot Marker of 07286 0 Fr Silicone Channel Round Full Dot 07287 0 Fr Silicone Channel Round Full.2 Dot 072226 0 Fr Silicone Channel- Round Hubless Full Dot 072227 0 Fr Silicone Channel- Round Hubless Full.2 Dot 07222 0Fr Silicone Channel Round /4 /8in Dot 0722 0mm Silicone Channel Flat /4 Dot 07224 0mm Silicone Channel Flat Full Dot 07225 0mm Silicone Channel Flat Full /6in Dot 07227 0mm Silicone Channel Flat /4 4.7 Dot 07288 5 Fr Silicone Channel Round Full Dot 07289 5 Fr Silicone Channel Round Full /6in Dot 07222 5 Fr Silicone Channel Round /4 4.7 Dot 072228 5 Fr Silicone Channel- Round Hubless Full Dot 072229 5 Fr Silicone Channel- Round Hubless Full 4.7 Dot 07290 9 Fr Silicone Channel Round Full Dot 0729 9 Fr Silicone Channel Round Full 4.7 Dot 07292 9 Fr Silicone Channel Round Full 6. Dot 072225 9 Fr Silicone Channel Round /4.6in Dot 07220 9 Fr Silicone Channel- Round Hubless Full Dot 2 0722 9 Fr Silicone Channel- Round Hubless Full 6. Dot 2 07224 24 Fr Silicone Channel- Round Hubless Full Dot 2 072290 28 Fr Silicone Channel- Round Hubless Full N 2 07228 28 Fr Silicone Channel- Round Hubless Full Dot 2 072292 2 Fr Silicone Channel- Round Hubless Full N 07220 7mm Silicone Channel Flat /4 Dot 0722 7mm Silicone Channel Flat Full Dot 07222 7mm Silicone Channel Flat Full 4.7 Dot 07226 7mm Silicone Channel Flat /4 /6in Dot

Primary Adapter to Connect g Blue Adapter with Sleeve g Silicone Bulb Evacuator If you connect to a PVC Evacuator, the slicone sleeve can be removed g Blue Adapter with Sleeve g Silicone Bulb Evacuator If you connect to a PVC Evacuator, the slicone sleeve can be removed g Adapter with Sleeve g Silicone Bulb Evacuator If you connect to a PVC Evacuator, the slicone sleeve can be removed g Adapter with Sleeve g Silicone Bulb Evacuator If you connect to a PVC Evacuator, the slicone sleeve can be removed g Blue Adapter with Sleeve g Silicone Bulb Evacuator If you connect to a PVC Evacuator, the slicone sleeve can be removed g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter with Sleeve g Silicone Bulb Evacuator g White Adapter g Y Connector PVC Evacuator

Silicone s Following is detail information about what adapters Shape Length of 0070200 /2 in Silicone Round End 24.4cm 007020 /8 in Silicone Round End 24.4cm 0070220 /6 in Silicone Round End 24.4cm 007020 /4 in Silicone Round End 24.4cm 00700 /8 in Silicone Round End 24.4cm Y 007020 /6 in Silicone Round End 24.4cm Y 2 00700 /4 in Silicone Round End 24.4cm Y 2 007070 0mm Silicone Flat Hubless /4 20cm 007040 7mm Silicone Flat Hubless Full 20cm 0070440 0mm Silicone Flat Hubless Full 20cm 007070 /8 in Silicone Double Round Mid.2cm Y 6 0070720 /6 in Silicone Double Round Mid.2cm Y 4 007070 /4 in Silicone Double Round Mid.2cm Y 4 PVC s Following is detail information about what adapters Shape 004660 /8 in PVC Double Round Mid 0 004670 /4 PVC Double Round Mid 0 004680 /6 in PVC Double Round Mid 0 0080700 /2 in PVC Double Round Mid Y 0 008070 /8 in PVC Double Round Mid Y 0 0080720 /6 in PVC Double Round Mid Y 0 of 008070 /4 in PVC Double Round Mid Y 0

Where are the Used? 2 2 4 g Y Connector of PVC Evacuator (no adapter needed) g Y Connector of PVC Evacuator (no adapter needed) g Y Connector of PVC Evacuator (no adapter needed) g Y Connector of PVC Evacuator (no adapter needed) g Y Connector of PVC Evacuator (no adapter needed) g Y Connector of PVC Evacuator (no adapter needed) g Y Connector of PVC Evacuator (no adapter needed) 2 2 4 4 g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter g Y Connector (s) PVC Evacuator g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter g Y Connector(s) PVC Evacuator Extra used if drain is cut g Blue Adapter g Y Connector(s) PVC Evacuator Extra are used if drain is cut g Blue Adapter g Y Connector(s) PVC Evacuator Extra are used if drain is cut Where are the Used?

Silicone Bulb Evacuator Kits Shape Evacuator Included of 00760 7mm Silicone Flat Hubless /4 Silicone Bulb 00cc 0 00770 0mm Silicone Flat Hubless /4 Silicone Bulb 00cc 0 00740 7mm Silicone Flat Hubless Full Silicone Bulb 00cc 0 007440 0mm Silicone Flat Hubless Full Silicone Bulb 00cc 0 007260 7mm Silicone Flat Hubless /4 Silicone Bulb 00cc Y 0 007270 0mm Silicone Flat Hubless /4 Silicone Bulb 00cc Y 0 007240 7mm Silicone Flat Hubless Full Silicone Bulb 00cc Y 0 0072440 0mm Silicone Flat Hubless Full Silicone Bulb 00cc Y 0 0070 /8 in Silicone Round End Silicone Bulb 00cc Y 00720 /6in Silicone Round End Silicone Bulb 00cc Y 2 Reliavac Bulb Evacuator Kits (PVC) Shape Evacuator Included 00850 /8 in Silicone Round End Reliavac Bulb 00cc Y 2 008520 /6 in Silicone Round End Reliavac Bulb 00cc Y 2 008560 7mm Silicone Flat Hubless /4 Reliavac Bulb 00cc 008570 0mm Silicone Flat Hubless /4 Reliavac Bulb 00cc 008580 7mm Silicone Flat Hubless Full Reliavac Bulb 00cc 008590 0mm Silicone Flat Hubless Full Reliavac Bulb 00cc 009060 7mm Silicone Flat Hubless /4 Reliavac Bulb 00cc 009070 0mm Silicone Flat Hubless /4 Reliavac Bulb 00cc 009080 7mm Silicone Flat Hubless Full Reliavac Bulb 00cc of 009090 0mm Silicone Flat Hubless Full Reliavac Bulb 00cc

Following is detail information about what adapters Where are the Used? 2 2 g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter g Y Connector(s) PVC Evacuator g Blue Adapter g Y Connector (s) PVC Evacuator Following is detail information about what adapters 2 Where are the Used? Extra Adapter- g Blue Adapter with Sleeve g Silicone Bulb Evacuator Extra Adapter for 2 nd Arm of Y Connector Extra for 2 nd Arm of Y Connector Extra for 2 nd Arm of Y Connector Extra for 2 nd Arm of Y Connector Extra for 2 nd Arm of Y Connector Extra for 2 nd Arm of Y Connector Extra for 2 nd Arm of Y Connector Extra for 2 nd Arm of Y Connector Extra for 2 nd Arm of Y-Connector

Reliavac Bottle Evacuator Kits (PVC) Shape Evacuator Included of 004600 /2 in PVC Round Mid Reliavac 400cc Y 00460 /8 in PVC Round Mid Reliavac 400cc Y 004620 /4 in PVC Round Mid Reliavac 400cc Y 00460 /6 in PVC Round End Reliavac 400cc Y 0070480 /8 in Silicone Round End Reliavac 400cc Y 6 0070490 /6 in Silicone Round End Reliavac 400cc Y 5 007050 /4 in Silicone Round End Reliavac 400cc Y 5 Three Spring Evacuator Kits (PVC) Shape Evacuator Included 004600 /2 PVC Round Mid -Spring Y 0 00460 /8 in PVC Round Mid -Spring Y 0 004620 /4 in PVC Round End -Spring Y 0 00460 /6 in PVC Round End -Spring Y 0 004660 /8 Silicone Round -Spring Y 004670 /4 Silicone Round -Spring Y 2 of

Following is detail information about what adapters Where are the Used? 4 4 4 g Y Connector (no adapter needed) g Y Connector (no adapter needed) g Y Connector (no adapter needed) g Y Connector (no adapter needed) g Blue Adapter with Sleeve g Silicone Bulb Evactuator Following is detail information about what adapters 2 2 Where are the Used? g Pre-cut Y Connector (no adapter needed) g Pre-cut Y Connector (no adapter needed) g Pre-cut Y Connector (no adapter needed) g Pre-cut Y Connector (no adapter needed) g Blue Adapter with Sleeve g Silicone Bulb Evacuator g Blue Adapter with Sleeve g Silicone Bulb Evacuator

Summary Silicone s to Silicone Evacuators Use the adapter with the silicone sleeve to connect it to the silicone bulb If no adapter with a silicone sleeve is included in the package, attach the drain directly to the silicone bulb Silicone s to PVC Evacuators Use the blue adapter that has no sleeve to connect to PVC type evacuators such as the Three spring evacuator/reliavac bulb and Reliavac Bottle evacuators PVC s to Silicone Evacuators Not recommended PVC s to PVC Evacuators For Three Spring Evacuators, attach the drain directly to the Y connector. No adapter is required For the Reliavac family of evacuators, an adapter is normally needed unless it is a customized kit. Indications for Use: BARD Channel s, round and flat silicone, are indicated for use with selected BARD evacuators for closed wound drainage following head and neck, orthopedic, abdominal, ENT, OB/GYN, plastic, neurosurgery, thoracic and cardiovascular (channel drains only) procedures Warnings: If an air-tight seal between the drain and the skin where the drain emerges is not achieved, the air leak must be rectified or the system must be converted to open drainage. An airtight seal between all system components (drain, adaptor and reservoir) is necessary for proper system function Evacuators should be emptied and re-activated when required per hospital protocol. Please consult product labels and inserts for any indications, contraindications, hazards, warnings, cautions and instructions for use. For additional information contact your local Bard representative or call 800.526.4455 C. R. Bard, Inc. Covington, GA 004 800.526.4455 www.bardmedical.com Bard and Reliavac are trademarks and/or registered trademarks of C. R. Bard, Inc. 204 C. R. Bard, Inc. All Rights Reserved. Printed in U.S.A. 406-2 R07/4 THP P08/4 2M