Injection; Valve Flushing (Clearing Obstructions); Codman Certas Tool Kit Replacement; Warranty - Codman CERTAS Plus Manual Del Usario

2. Ensure that the numbers on the overlay that depict
the performance settings are properly oriented for
viewing. In this orientation the right hand side (RHS)
marker red line extends to the right of the RED
centerline. This ensures proper overlay orientation.
3. Align rotating construct (RC) center dot on overlay
with the center of the RC of the x-ray image.
4. Ensure RHS marker red line containing red dot is aligned
with the RHS marker of the x-ray image (if present).
5. The valve setting is determined by identifying the
region of the overlay that contains the majority of
the image of the magnet that has the tantalum ball
adjacent to it.

Injection

If hypodermic injection is required, inject with a 25-gauge
or smaller non-coring HUBER
reservoir only. The reservoir can be punctured up to
25 times with a 25-gauge or smaller non-coring HUBER
type needle.
CAUTION: A needle guard has been included in the
valve housing to provide tactile feedback during
needle insertion but is not intended to prevent
puncturing through the back of the valve under
forceful pressure.

Valve Flushing (Clearing Obstructions)

(Valves without SIPHONGUARD Device only)
CAUTION: While flushing may be used as a method
for determining patency, it is not recommended.
Use clinical judgment and imaging studies or
other techniques to confirm suspected cases of
shunt malfunction.
To flush the ventricular (proximal) catheter:
• Occlude the catheter distal to the reservoir with finger
pressure, then depress the reservoir.
• Failure of the reservoir to refill might indicate proximal
catheter blockage.
To flush the distal catheter:
• Occlude the catheter proximal to the reservoir with
finger pressure, then depress the reservoir.
• Failure of the reservoir to depress easily might indicate
distal catheter blockage.
Note: While proximal pressure is maintained, reservoir
will not refill with fluid.

CODMAN CERTAS Tool Kit Replacement

The CODMAN CERTAS Tool Kit cannot be repaired.
Contact your local Codman representative for
replacement of the CODMAN CERTAS Tool Kit.

Warranty

Integra LifeSciences, Inc. warrants that this medical
device is free from defects in both materials and
workmanship. Any other express or implied
warranties, including warranties of merchantability
or fitness, are hereby disclaimed. Suitability for use
of this medical device for any particular surgical
procedure should be determined by the user in
conformance with the manufacturer's instructions for
use. There are no warranties that extend beyond the
description on the face hereof.
type needle into the
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