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MedComp Dignity Titanium Gebrauchsanleitung Seite 10

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6.6F/5F Titanium Stem Biocompatible
8F Titanium Stem Biocompatible
Polycarbonate Urethane Version
POSITION PORT AND CLOSE INCISION SITE
1.
Place the port in the subcutaneous pocket away from the incision line. This
will reduce the risk of port migration and the possibility of it flipping over.
Secure the port to the underlying fascia using non-absorbable, monofilament
sutures. Leave sufficient slack in the catheter to permit slight movement, and
verify that the catheter is not kinked.
2.
After suturing the port in the pocket, flush the wound with an appropriate
antibiotic solution.
3.
Conduct flow studies on the catheter using a non-coring needle and 10ml
syringe to confirm that the flow is not obstructed, that no leak exists, and that
the catheter is correctly positioned.
4.
Aspirate to confirm the ability to draw blood.
5.
Flush and heparin lock the port system as described under "Heparin Lock
Procedure". Remember that some patients may be hypersensitive to heparin
or suffer from heparin induced thromboctopenia (HIT) and caution should be
used when using heparinized saline to lock the port.
6.
After therapy completion, flush port per institutional protocol.
7.
Close the incision site, so that the port does not lie beneath the incision.
8.
Apply dressing according to hospital practice.
HEPARIN LOCK PROCEDURE
To help prevent clot formation and catheter blockage, implanted ports
with open-ended catheters should be filled with sterile heparinized
saline after each use. If the port remains unused for long periods of
time, the heparin lock should be changed at least once every four weeks.
Remember that some patients may be hypersensitive to heparin and
these patients must not have their port locked with heparinized saline.
Determining Port Volumes
For Power Injectable Implantable Infusion Port devices, you will need to
determine the length of catheter used for each individual patient.
For system priming volume, multiply the catheter length in cm by the
corresponding catheter french size volume per cm provided in the chart
below:
Polycarbonate Urethane Version
CATHETER PRIMING VOLUMES
FRENCH SIZE
CATHETER VOLUME PER CM
5F
0.011 (mL/cm)
6.6F
0.014 (mL/cm)
8F
0.017 (mL/cm)
9.6F
0.020 (mL/cm)
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