How Supplied - COOK Medical Spectrum Gebrauchsanweisung

ENGLISH
8. After catheter is in position, remove wire guide. (Fig. 2) Venous blood should be easily aspirated.
Winged hub can now be sutured into place. If catheter is not introduced to its full length, additional
suture should be carefully placed around catheter and affixed to the skin at entry site if movable
suture wing is not included. This will help prevent backward or forward catheter movement.
Lumens should now be flushed with 5-10 cc normal saline prior to use or establishment of heparin
lock.
NOTE: A wire guide that is at least twice as long as the catheter is recommended for catheter
exchange procedure.

HOW SUPPLIED

Supplied sterilized by ethylene oxide gas in peel-open packages. Intended for one-time use. Sterile
if package is unopened or undamaged. Do not use the product if there is doubt as to whether the
product is sterile. Store in a dark, dry, cool place. Avoid extended exposure to light. Upon removal
from package, inspect the product to ensure no damage has occurred.
REFERENCES
These instructions for use are based on experience from physicians and (or) their published literature.
Refer to your local Cook sales representative for information on available literature.
1. Darouiche R, Raad I, Heard S, et al. "A Comparison of Two Antimicrobial-impregnated Central
Venous Catheters. " N Engl J Med, 1999; 340:1-8.
2. Amplatz K. "A Simple Non-thrombogenic Coating. " Investigative Radiology, 1971; 6:280-289.
3. Blackshear RH, Gravenstein N. "Critical Angle of Incidence for Delayed Vessel Perforation by Central
Venous Catheter: A Study of In Vivo Data. " Annals of Emergency Medicine, 1992; 21:242.
4. Tocino IM, Watanabe A. "Impending Catheter Perforation of Superior Vena Cava: Radiographic
Recognition. " American Journal of Roentgenology, 1986; 146:487-490.
5. Darouiche RO, Smith JA, Hanna H, et al. "Efficacy of Antimicrobial-impregnated Bladder Catheters
in Reducing Catheter-associated Bacteriuria: A Prospective, Randomized, Multicenter Clinical Trial. "
Urology, 1999; 54:976-981.
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