1. Ensure CO₂ tank has sufficient pressure – Pressure Gauge Needle should be in the solid green part of the dial.
    
2. Attach CO₂ Tubing (JAC-CELL Filtered Tubing Set) to Male luer lock end of Catheter Adapter at Front of the CO₂ Unit.
    
3. Attach a Catheter Adapter (blue “Christmas Tree” adapter) to the Distal end of the filtered CO₂ Tubing.
    
4. Enema Tip - Cut the Blue Adapter off the end of the Blue Extension Tubing and attach to the “Christmas Tree Adapter”. Alternative Method - use 3 way Stopcock with the blue Puffer Bulb attached to one end of 3 way stopcock via blue adapter and blue puffer tubing. Attach male (PMMLA) adapter to distal end of Stopcock – this goes to blue tubing on enema tip. Attach CO₂ tubing to remaining luer on Stopcock (see diagram). This will allow Doctor to switch from CO₂ to puffed air at any time.
    

    

5. Turn on Power to CO₂ Device (green button)
    
6. Set Intra-abdominal Pressure at 12
    
7. Purge the Line by setting Insufflation Control to 1 Litre/Min. for 30 seconds.
    
8. Insert Enema Tube.
    
9. Initiate Insufflation at 1 Litre/Min. – check Patient tolerance.
    
10. Increase Flow to High-Flow Automatic if necessary.

JAC-CELL FILTER/TUBING IS DISPOSABLE – USE A NEW SET FOR EVERY CASE