MedComp Split-Tip-LT-Katheter Gebrauchsanleitung Seite 10

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.
5. Install injection cap over dilator opening to prevent blood loss or
air embolism.
Caution: Do not clamp the dual lumen portion of the catheter. Clamp
only the extensions. Do not use serrated forceps; use only the in-line
clamps provided.
6. Remove dilator with injection cap from sheath.
7. Insert distal tips of catheter into and through the sheath until
catheter tips are correctly positioned in the target vein.
8. Remove the tear-away sheath by slowly pulling it out of the vessel
while simultaneously splitting the sheath by grasping the tabs and
pulling them apart (a slight twisting motion may be helpful).
Caution: Do not pull apart the portion of the sheath that remains in
the vessel. To avoid vessel damage, pull back the sheath as far as
possible and tear the sheath only a few centimeters at a time.
9. Continue with step #15 under Seldinger Insertion Section.
Warning: Only a physician familiar with the appropriate techniques
should attempt the following procedures.
Caution: Always review hospital or unit protocol, potential
complications and their treatment, warnings, and precautions prior to
catheter removal.
1. Palpate the catheter exit tunnel to locate the cuff.
2. Administer sufficient local anesthetic to exit site and cuff location to
completely anesthetize the area.
3. Cut sutures from suture wing. Follow hospital protocol for removal
of skin sutures.
4. Make a 2cm incision over the cuff, parallel to the catheter.
5. Dissect down to the cuff using blunt and sharp dissection as
indicated.
6. When visible, grasp cuff with clamp.
7. Clamp catheter between the cuff and the insertion site.
8. Cut catheter between cuff and exit site. Withdraw internal portion of
catheter through the incision in the tunnel.
9. Remove remaining section of catheter (i.e. portion in tunnel)
through the exit site.
Caution: Do not pull distal end of catheter through incision as contami-
nation of wound may occur.
10. Apply pressure to proximal tunnel for approximately 10-15 minutes
or until bleeding stops.
11. Suture incision and apply dressing in a manner to promote optimal
healing.
12. Check catheter integrity for tears and measure catheter when
removed. It must be equal to the length of catheter when it was
inserted.
CATHETER REMOVAL
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