Replacing tibial IO
- Attach the tibial IO drain bag to the tibial tube. 
- Close off the pinch clamp. 
- Roll down leg skin to access the tibial IO module. 
- Remove the IO tape. 
- Lift out the tibial IO unit from the leg. 
- Remove the tube from the tibial IO module. 
- Remove the tibial IO pad from the tibial IO chassis. 
- Discard used tibial IO pad. 
- Ensure the nipple is retracted on the new tibial IO pad. 
- Secure the tibial IO pad into the chassis and press the base of the pad until the nipple moves forward and locks into place. 
- Connect the tibial tube to the tibial IO unit. 
- Insert the tibial IO module into the leg. 
- Secure the module with tape. 
- Roll the leg skin over the tibial module.