SINAPI CHEST DRAIN

NURSING CARE
Depressed bulb

suction

Depress the bulb

Negati
ve press
ure

Depress the bulb. If the bulb stays depressed it

(patent pending)

applies suction to assist fluid / air to drain.

SINAPI chest drain

MAX

1000

AIR LEAK
SIZE
INDICATOR

950

900
850

800
water level
movement

750

H2O level

700
650

Suction tubing

1
2
3
4
5
6
7

600
550

500

Attach low pressure (LP) suction

450

0120

bubbling

MODEL NO: XL 1000 (001)

INSTRUCTIONS FOR USE

400
350

300
0
10 0
8

250

200
150

ml

60

40 0
3

20

10 5
m
l

100
50
20

If the bulb does not stay depressed, attach LP-suction

to the air vent tubing as indicated (if required).

AIR LEAK
SIZE
INDICATOR

950

900
850

800
water level
movement

750

H2O level

700
650

1
2
3
4
5
6
7

600
550

500
450

bubbling

water

MODEL NO: XL 1000 (001)

SINAPI chest drain

MAX

1000

0120

(patent pending)

Negative
pressu
re

AIR VENT
TUBING

Air leak?
Depress the bulb. If it stays depressed there is no air leak.

400
350

300

50

60

40

30

20

If it re-expands, syringe 25ml clean water into air-vent tubing.

10 5
l

150

100
ml

0
10 0
8

250

200

20

Look for bubbling or water level movement.

Bubbling or water level movement = air leak

water level
movement

bubbling
H2O level
Small
1
2
3
4
5
6
7
Large

Look for bubbles

AIR LEAK SIZE

INDICATOR

Monitoring
Depressed bulb

Expanded bulb

Good news

Bad news

Reason:

Potential reasons:

(suction / negative

- Pneumothorax
- Fistula (air leak)
- Tube connections not secure
= air leaks into the system

pressure is achieved
provided there is no
blockage in tubing)

50oC

STERILE EO

Do not use if unit

package is opened or
damaged.

LATEX
0oC

Single Use

Latex Free

Avoid Extreme
Temperatures

SINAPI biomedical, ARC/Infruitec North Campus,

Lelie Road, Stellenbosch, 7599, South Africa
Tel: +27 21 887 5260 Fax: +27 21 887 3059
email: sales@sinapi.co.za
Postal: Suite 214, Pbag X5061, Stellenbosch 7599

SINAPI CHEST DRAIN

INSTRUCTIONS FOR USE - INSERTION & REMOVAL

Expanded bulb

air is flowing out

How to confirm chest catheter position

For hemothorax:

Look for blood visible in the drainage tubing.

Depressed bulb

For pneumothorax:

Depress the bulb - the bulb must initially re-

expand. If it does not re-expand it confirms an absence of air at the catheter tip,

air is NOT flowing

out

thus the catheter is not placed in the pleural space (or pneumothorax is resolved).

Mobile

Gravity drainage

Shorten the chest catheter to

prevent loops in tubing. For
(patent pending)

SINAPI chest drain

MAX

1000

AIR LEAK
SIZE
INDICATOR

950

900
850

800
water level
movement

750

700

HO
level
2
bubbling

650

MODEL NO: XL 1000 (001)

0120

Negative

pressure

pneumothorax, remove the

1
2
3
4
5
6
7

600
550

500
450

400

drainage bag.

350

300

150

100
50

100

80

60
40

30
20
10 5
ml

250

200

ml

20

(patent pending)

SINAPI chest drain

MAX

1000

AIR LEAK
SIZE
INDICATOR

950

900
850

800
water level
movement

750

700

level
HO
2
bubbling

650

MODEL NO: XL 1000 (001)

0120

Ng
ev ati e
pressure

Hang device lower than the chest. Routinely drain

1
2
3
4
5
6
7

600
550

500
450

400
350

300

150

100
50

100

80
60
40

30
20
10 5
ml

250

200

ml

20

Negti
as ve presu

re

necessary, you may lie device flat on the bed, as long as the

0120

(patent pending)

AIR LEAK
SIZE
INDICATOR

950

900
850

800
water level
movement

750

level
HO
2

700
650

1
2
3
4
5
6
7

600
550

500
450

bubbling

MODEL NO: XL 1000 (001)

SINAPI chest drain

MAX

1000

fluids via the bottom outlet tap before it overflows. If

400
350

300

150

100
50

100

80
60
40

30
20
10 5
ml

250

200

ml

20

liquid in the reservoir remains less than the maximum volume

Pneumothorax

Hemothorax

level. Hang next to the bed when unattended.

Increase the drainage rate (suction)

Depress the bulb until the bulb stays depressed. If the bulb re-expands, pinch
the tubing above the valve and then depress the bulb. Repeat the process until the

pinch
tubing
depress bulb

bulb stays depressed (up to 30x). For BP fistula (air-leak), attach external suction.

A guide when to remove the chest catheter

You have to confirm two things:
1. Drainage volume must be low.
2. Depress the bulb: the bulb must stay depressed.

Depressed bulb

if bulb re-expands it confirms air in the pleural space / if bulb

stays depressed it confirms the opposite.

Evaluate the above clinically and / or with chest X-ray

Replace device after 7 days!