MedComp 14F Split Cath Rg Instrucciones De Uso página 7

17. Make any adjustments to catheter position under fluoroscopy. The distal
venous tip should be positioned at the level of the caval atrial junction or into
the right atrium to ensure optimal blood flow.
Note: Femoral catheter tip placement is recommended at the junction of the iliac
vein and the inferior vena cava.
TUNNELIZATION & CUFF PLACEMENT:
18. Position catheter over anticipated tunnel path.
19. Note the desired location at which the cuff will be positioned.
20. Administer sufficient anesthetic to the entire length of tunnel path and exit
site.
21. Remove stylet and clamp lumen prior to tunnelization.
22. Perform retrograde tunnel two possible ways.
22a. Using straight blunt tunneler (remove tunneling sleeve). Attach tunneler
to tunneler adaptor at priming end of lumen. Tunnel down chest wall.
22b. Using ring handled tunneler. Insert ring handled tunneler through exit
site up to the catheter through tunnel. Attach catheter to the tunneler
and pull lumen back through to the exit site.
23. Remove and retain temporary lumen clamp for subsequent instructions.
24. Make an incision at the tunnel exit site. Make the incision at the exit site wide
enough to accommodate the cuff, approximately 1cm.
25. Use blunt dissection to create the subcutaneous tunnel opening. Insert the
tunneler into the insertion site and create a short subcutaneous tunnel.
Tunnel in the direction of the tunnel exit site incision. Do not tunnel through
muscle. The tunnel should be made with care in order to prevent damage to
surrounding vessels.
25a. For Femoral Vein Insertion: Create subcutaneous tunnel with the
catheter exit site in the pelvic region.
Warning: Do NOT over-expand subcutaneous tissue during tunneling.
Over-expansion may delay/prevent cuff in-growth.
26. Lead catheter into the tunnel gently. Do not pull or tug the catheter tubing. If
resistance is encountered, further blunt dissection may facilitate insertion.
Warning: Do NOT pull tunneler out at an angle. Keep tunneler straight to prevent
damage to catheter tip.
Note: A tunnel with a wide gentle arc lessens the risk of kinking. The tunnel should
be short enough to keep the extension set of the catheter from entering the exit site,
yet long enough to keep the cuff 2cm (minimum) from the skin opening.
27. Reattach temporary lumen clamp in same location as previously noted in #6.
ASSEMBLY OF THE 14F Split Cath
28. Clamp using catheter clamp provided to prevent blood loss or air embolism.
29. Remove tunneling adaptor by cutting catheter lumen squarely at the desig-
nated line and in such a manner that produces a clean, smooth surface. Cut
only at designated line.
Caution: Use only the Medcomp
Warning: Do NOT soak catheter end, hub, compression ring or extensions in any
antiseptic (i.e. alcohol, PVP, etc.) before or during assembly.
1
22a.
22b.
14F Split Cath
®
Rg:
®
Rg extension with this catheter.
®
-5-