MedComp Dignity Titanium Gebrauchsanleitung Seite 12

8. Instruct the patient to communicate immediately any pain or change in feeling
during the injection.
9. Inject warmed contrast, taking care not to exceed the flow rate limits.
Warning: If local pain, swelling or signs of extravasation are noted, the
injection should be stopped immediately.
Warning: Exceeding the maximum flow rate may result in port system
failure and/or catheter tip displacement.
10. Disconnect the power injection device.
11. Flush the port with 10ml of sterile normal saline.
12. Perform heparin lock procedure. Remember that some patients may be
hypersensitive to heparin or suffer heparin induced thrombocytopenia (HIT).
These patients must not have their port primed with heparinized saline.
13. After therapy completion, flush port per institutional protocol. Close clamp
while injecting last 0.5ml of flush solution.
Warning: Do not exceed a 300 psi pressure limit setting, or the maximum flow rate
setting shown below, on the power injection machine if power injecting through the
Power Injectable Implantable Infusion Port.
The CT Implantable Port system testing included at least 40 power
Medcomp
®
injection cycles with a CT rated Huber needle set and 11.8 Centipose (cp) viscosity
contraast solution.
Port/Catheter Configuration
Mini Profile
CT Ports
Low Profile
CT Ports
Mid-Size CT
Ports
Non-Coring Needle Gauge
Size
Maximum Flow Rate
Note: CT injection pressure should be set at a maximum of 300 psi. Flow rates
less than 5 ml/s and/or lower viscosity contrast will generate lower pressures in
the port and catheter.
Represents flow capability of port and catheter assembly for power injection of
a
contrast media.
Internal port pressure during maximum indicated CT flow rate using contrast
b
media with 11.8 Centipoise (cp) viscosity.
Average static burst pressure and range is the burst pressure of the port catheter
c
assembly.
Thru Septum
Port Base
REFERENCES
1. Jacobs, D.M. et. al., "Anatomical and Morphological Evaluation of
Pacemaker Lead Compression. PACE. 1993 Mar; 16(1):434-444.
2. Magney, J.E. et. al., "Anatomical Mechanisms Explaining Damage to
Pacemaker Leads, Defibrillator Leads, and Failure of Central Venous
Catheters Adjacent to the Sternoclavicular Joint". PACE. 1993 Mar;
16(1):445-457.
3. Hinke, D.H.; Zandt-Stastny, D.A.; Goodman, L.R.; et. al. "Pinch-off
syndrome: A complication of implantable subclavian venous access
devices". Radiology 177: 353-356, 1990.
4. Ingle, Rebecca; Nace, Corinne. "Venous Access Devices: Catheter Pinch-
off and Fracture." 1993, Bard Access Systems, Inc.
5. Camp-Sorrell, Dawn. "Access Device Guidelines.: 2nd Ed. Oncology
Nursing Society, 2004.
Average Port
Reservoir
Pressure
5F
117 psi
6.6F
62 psi
8F
62 psi
5F
115 psi
6.6F
61 psi
8F
59 psi
5F
109 psi
6.6F
64 psi
8F
66 psi
9.6F
42 psi
Indicated CT Flow Rates
19 Ga.
5ml/s
a
Mini
5.5118 mm
10.795 mm
Average
Static Burst
Pressure
b
226 psi
270 psi
282 psi
227 psi
268 psi
278 psi
224.9 psi
212 psi
206 psi
152 psi
20 Ga.
5ml/s
Needle Penetration Depth
Low Profile
5.5118 mm
10.795 mm
-10-
Static Burst
Pressure
Range
c c
209-237 psi
263-279 psi
278-288 psi
221-234 psi
254-290 psi
245-301 psi
196-263 psi
200-236 psi
197-219 psi
133-244 psi
22 Ga.
2ml/s
Mid-Size
6.096 mm
10.9728 mm