Circumferential Sensor foronon-occluded, 360 readings

The Koala’s small tip is made of soft, malleable urethane. Soft tip “mushrooms” in shape when pressed against a surface Mushrooming effect decreases risk of placental perforation,

increasing the safety for mother and baby

Soft Tip for Safe Insertion

The Koala’s amnioinfusion port has a hydrophobic cap and a tethered replacement cap. The amnioinfusion lumen and sensor-charging lumen are two

separate channels so each can perform its function accurately

Convenient Amnioinfusion

The Koala has no electronics in the catheter, allowing for a smaller, rounder catheter that is easy to place. A round catheter is less likely to slide down, or even out, with the baby during labor No electronics in the catheter also means no “thermal drift”, or no variation in readings

by change from room to body temperature

Small, Round Catheter for Easy Placement

The Koala is made and packaged to properly achieve fundal placement. Stiffness enables easier insertion and placement in upper fundus Unique U-shape provides easy-to-place catheter memory, eliminating

excessive bending and “pretzel” twisting

Packaged with “U” in Mind

oThe Koala’s sensor registers pressure 360 , not just one direction. Sensor is not easily occluded by maternal or fetal tissue Local forces on the sensor have little effect on the function of the

catheter

Circumferential Sensor for Accuracy

The Koala’s transducer is located in the reusable cable, ensuring accurate and reliable readings. Clinician can disconnect catheter while it is in the uterus and zero the monitor while the

transducer is exposed to atmospheric pressure, providing a true zero reading Eliminates negative numbers, common with other catheters, due to improper electronic zeroing

External Transducer for True, Easy Zeroing

The Koala has a clear catheter lumen to confirm proper placement via amniotic fluid flashback.

Clear Lumen for Confirmationof Proper Catheter Placement

Proper placement is confirmed when amniotic fluid is seen flowing back down the catheter

Proper placement in the amniotic space is key for safe and accurate IUP monitoring Amniotic fluid flowing back down the catheter confirms placement in the amniotic space Frank, red blood flowing back down the catheter confirms placement outside the amniotic

membranes and requires catheter withdrawal and replacement

US Patents #5,573,007; #5,951,497 and #6,231,524 NO LATEX NO DEHP NO PVC

Koala. Your complete tool to systematically eliminate IUP inaccuracies.

Obtain a true zero by disconnecting the catheter and exposing the transducer to atmosphere

Step 1Identify fetal presenting part

Step 5Advance catheterto “45cm STOP”marking

Watch for fluid in amniolumen

Step 2Place tip on inside(amnion side)of membranesNote: Illustration shows lateral placement to avoid the typically high posterior placenta and reduce resistence from the sacrum.

HydrophobicFiltered Cap

AMNIO

Amniotic Membranes

Placementin Amniotic

Space

Attach patchclose to introitus

Step 6Remove Introducer and attach patch high on thighclose to introitus to prevent catheter from slipping out

Step 7Connect catheter to zeroed cableAttach non-filtered cap (optional)

AMNIO

Non-fliteredCap

Good BaselineCrisp WaveformAmniotic FluidMeconium

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0 0

Evidence

45cmSTOP

Advance Koala 10-14 cm by inserting catheter untilbottom of introducer is at text “Pause for Flashback”(catheter tip should be just beyond fetal head)

Step 3

Step 4

Studies indicate that IUPCs are easily and frequently placed outside the amniotic membranes (extraovular - between the chorion and the decidua-endometrial lining).* A catheter placed extraovular will still provide a reading, but not the reading of absolute intrauterine pressure. Deliberate and careful steps must be taken to ensure proper catheter placement in the amniotic space with all IUPCs. Koala provides the feature of a clear amniolumen to confirm proper placement in the amniotic space.

Steps for Proper Placement in the Amniotic Space

Note: Blood tingedfluid (amniotic fluid &bloody show) also indicatesplacement in amniotic space.

Extraovular Placement

*Sciscione A, Rhee A, Duhl A., Pullock M, Mass B, Manley J, Shlossman P, Mulla W. A Randomized Trial of Two Typesof Intrauterine Pressure Catheters and the Rate of Extra-Ovuloar Placement. Am. J. Obstet. Gynecol. 182(1):490(2000).*

W.D. Wallace and B. Lind 4º World Congress of Perinatal MedicineBuenos Aires, Argentina 18-22 April 1999

HydrophobicFiltered Cap

AMNIO

Frank Blood In AmniolumenCatheter is extraovular

Amniotic Membranes

Do Not Advance Catheter; Withdraw and RedirectPlacement can be improved by withdrawing catheter to fingertipsand redirecting in different quadrant until clear amniotic fluid is seenin amniolumen.A

ction

High BaselineDamped WaveformNegative ReadingBlood, EndometrialTissue on Tip

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0 0

Evidence

Koala Insertion Guide

Do Not AmnioinfuseOutside Membranes

747 West 4170 SouthMurray, Utah 84123Phone 888 268-6222Fax 801 266-7373www.clinicalinnovations.com

2012 Clinical Innovations, Inc.P/N 056-0052 Rev. B

AmnionChorion

Endomet

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AmnioticFluidSpace

Placenta

AmnionChorion

AmnioticFluidSpace

Endomet

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gIn Case of Dampened Waveforms Caused by Oligohydramnios

Made in USA

Introducer

STOP

45cm PAUSE FOR FLASHBACK

If catheter is in amniotic space, as evidenced by amniotic flashback, flush with 10-20 ml of sterile saline and watch for improvement of waveforms. Very little amniotic fluid (e.g. 2 ml) is required to get amniotic flashback and a good waveform.