MedComp PRO-PICC CT Instrucciones De Uso página 5

DIRECTIONS FOR MODIFIED SELDINGER INSERTION
• Read instructions carefully before using this device. The catheter should be
inserted, manipulated, and removed by a qualified, licensed physician or other
qualified health care professional under the direction of a physician.
• The medical techniques and procedures described in these instructions for
use do not represent all medically acceptable protocols, nor are they intended
as a substitute for the physician's experience and judgment in treating any
specific patient.
• Use standard hospital protocols when applicable.
PRIOR TO PLACEMENT:
Identify Insertion Site and Vein, taking into account the following variables:
• Patient diagnosis
• Age and size of patient
• Unusual anatomical variables
• Type and purpose of IV therapy
• Anticipated dwell time of catheter
1. Apply tourniquet to arm above anticipated insertion site.
2. Select vein based on assessment.
3. Release tourniquet.
PREPARE CATHETER:
1. Preflush catheter, sideport adapter, and needleless access port(s).
• Carefully insert wire stylet through hole in blue cap of sideport adapter and
down into catheter lumen.
• Attach saline filled syringe to luer of sideport adapter and flush adapter and
catheter. Clamp sideport extension and remove syringe. If using multiple lumen
catheter, attach needleless access port to remaining extension (s). Attach saline
filled syringe to the needleless access port and completely flush catheter lumen.
Caution: The needleless access port should not be used with needles, blunt
cannula, or other non-luer connectors, or luer connectors with visible defects.
If needle access is attempted, the needleless access port must be replaced
immediately. Do not exceed 100 actuations.
INSERTION:
2. Strict aseptic technique must be used during insertion, maintenance, and
catheter removal procedures. Provide a sterile operative field. Use sterile
drapes, instruments, and accessories. Perform surgical scrub. Wear gown,
cap, gloves, and mask.
3. Apply tourniquet to arm above anticipated insertion site to distend the vein.
4. Insert the introducer needle with attached syringe into the target vein. Aspirate
to insure proper placement. Release tourniquet.
5. Remove the syringe and place thumb over the end of the needle to prevent
blood loss or air embolism. Draw the flexible end of marked .018" guidewire
back into advancer so that only the end of the guidewire is visible. Insert the
advancer's distal end into the needle hub. Advance guidewire with forward
motion into and past the needle hub into the target vein.
Caution: Guidewire is hydrophilic. Hydrate prior to use.
Caution: The length of the wire inserted is determined by the size of the patient.
Monitor patient for arrhythmia throughout this procedure. The patient should be
placed on a cardiac monitor during this procedure. Cardiac arrhythmias may result
if guidewire is allowed to pass into the right atrium. The guidewire should be held
securely during this procedure.
Note: For alternate insertion method, see Directions for Seldinger Insertion section.
6. Remove needle, leaving guidewire in the target vein. Thread sheath/dilator
over the proximal end of the guidewire into target vein. Advance the guidewire
until it reaches the caval atrial junction. Once the guidewire is in place, measure
the depth of the guidewire by reading the markings on the wire. Remove the
guidewire leaving the sheath and dilator in the vein.
Caution: DO NOT bend the sheath/dilator during insertion as bending will cause
the sheath to prematurely tear. Hold sheath/dilator close to the tip (approximately
3cm from tip) when initially inserting through the skin surface. To progress the
sheath/dilator towards the vein, regrasp the sheath/dilator a few centimeters
(approximately 5cm) above the original grasp location and push down on the
sheath/dilator. Repeat procedure until sheath/dilator is fully inserted.
Caution: Never leave sheath in place as an indwelling catheter. Damage to the
vein will occur.
7. Loosen locking collar of sideport and withdraw stylet back beyond the point
where the catheter is to be trimmed by at least ¼ inch (1cm). Cut catheter to
length determined by marked guidewire.
Caution: Never attempt to cut stylet.
Caution: Always withdraw stylet back beyond the tip of the catheter prior to
insertion.
8. Once proper catheter length and stylet position has been achieved, tighten
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