Ambu Perfit ACE Manual Del Usuario página 4

Perfit Extrication Collar
Intended use
The Ambu® Perfit ACE® collar is a one-piece rigid cervical spine immobilization device designed to assist
the rescuer with the maintenance of neutral alignment, prevention of lateral (side-to-side) sway and
anterior-posterior (forward and backward) flexion and extension of the cervical spine during transport and
routine patient care or movement.
The Ambu Perfit ACE is the only collar with 16 sizes for patient immobilization.
Principles of Immobilization
Prevention and/or further extension of damage to the cervical spine and spinal cord is accomplished by
maintaining the head and neck in a position of "neutral alignment." The head and neck should not be
flexed forward, extended backward, or cocked to one side or the other. The neutral alignment position
prevents damaged vertebrae or foreign bodies from rubbing and/or cutting the spinal cord. Additionally,
the neutral alignment position prevents the spinal cord from being twisted or compressed causing
physical and/or ischemic injury to the spinal cord.
Warning
The Ambu Perfit ACE collar is intended for application by licensed health care practitioners as directed
by a physician or other medical authority. Permanent injury may result from use other than as directed
by a physician or other medical authority.
An extrication collar is only part of total patient immobilization.
Single patient use.
It is important that practitioners are trained and practiced in the use and application of the device and that
all instructions are read and understood prior to application of the collar.
All directions are to be considered as guidelines and not an attempt to define medical practice. Use the
device only after review and approval from the supervising medical authority.
Check the device before use.
Patient to be monitored while device is in use.
Specifications
Storage temperature: Tested at -30 °C (-22 °F) and +70 °C (158 °F) according to EN 1789
Operational Temperature: -10 °C ~ +40 °C (14 °F~104 °F)
Directions for Use
STEP 1
Have one rescuer manually stabilize the head and neck, gently holding the head and neck in the neutral
alignment position (Figure 1).
Note: If resistance is felt or an increase in patient discomfort is noted, follow your established protocols for
immobilization of the cervical spine in the presence of known or suspected cervical dislocation.
STEP 2
Once the head and neck are manually stabilized, a second rescuer should apply an Perfit ACE collar to the
patient. Size the collar as determined below. Applied collar must not hyper-extend patient's neck.
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STEP 3
Measure the distance between an imaginary plane drawn horizontally and immediately below the
patient's chin and second horizontal plane drawn immediately on top of the patient's shoulder (Figure 2).
STEP 4
Compare this distance with the distance from the collar sizing line to the lower aspect of the plastic collar
body (not the foam) (Figure 3).
STEP 5 SIZING
The Perfit ACE collar is preset to Neckless Size 3. If a larger size collar is needed, disengage the safety locks
by pulling UP on the buttons (Figure 4).
STEP 6
Adjust the collar to the appropriate size: the Perfit ACE provides 16 ratchet settings between the traditional
Neckless (Size 3) and Tall (Size 6).
Simply pull the collar apart until the distance between the sizing line and the plastic collar body equals
your finger measurement (Figure 5).
STEP 7
Engage the safety locks by pushing DOWN on the safety buttons (Figure 6).
STEP 8
If the Perfit ACE needs to be resized, disengage the safety locks and pull "OUT" on the ratchet latches
("arrows") (Figure 7, Figure 8).
The Perfit ACE may now be adjusted to smaller sizes (Figure 9).
Reset the ratchet latches by pressing "IN" on the "arrows" (Figure 10).
Now engage the safety locks by pressing DOWN on the safety buttons (Figure 11).
Collar Assembly
The collar is assembled as follows:
Hold the collar near the tracheal opening with one hand. Place the index finger on the foam side of the
chin piece (on the center rivet) and the thumb on the plastic side of the chin piece (on the center rivet) and
simply flip the chin piece from the back of the collar to the front of the collar (Figure 12 and 13). This
automatically forms the chin piece and places it in the position of function.
Application
Proper application of any extrication collar requires two individuals. The first rescuer should maintain
stabilization and neutral alignment of the head and neck by grasping the head with a spread finger
technique (Figure 14).
1. The second rescuer should slide the front of the collar along the patient's chest and position the chin
piece. The collar body should rest on the top of the patient's shoulder and against the sternum
without gaps (Figure 15). The patient's chin must rest securely in the chin piece in neutral alignment
position.
2. While holding the front of the collar in place, wrap the back of the collar around the back of the
patient's head and neck and secure to the front of the collar with the Velcro® tab (Figure 16).
3. Adjust the Velcro tab as necessary by holding the front cutout of the collar and tightening the
Velcro tab (Figure 17).
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