MedComp Dignity Titanium Gebrauchsanleitung Seite 9

Attachable Catheters
• Create a subcutaneous tunnel from the venous site to the port pocket site
using tunneler or long forceps per the following:
a. Make a small incision at the venous entry site.
b. Insert tip of tunneler into the small incision.
c. Form tunnel by advancing tip of tunneler from the venous entry site to the
port pocket site. Caution: Avoid inadvertent puncture of the skin of fascia
with the tip of the tunneler.
d. Remove catheter lock from the catheter. Caution: Never use a catheter lock
that appears cracked or otherwise damaged.
e. Attach end of catheter onto the tunneler barb with a twisting motion. Note:
Barb threads must be completely covered to the extent possible by the
catheter as it is pulled through the tunnel. A suture may be tied around
the catheter between the tunneler body and the large barb to hold it more
securely.
f. Pull the tunneler through to the port pocket site while gently holding the
catheter. Note: The catheter must not be forced.
g. Place catheter lock back onto catheter, ensuring the radiopaque ring faces
proximally (toward the end of the catheter that will be attached to the port).
h. Cut the catheter to the proper length at a 90˚ angle, allowing sufficient slack
for body movement and port connection. Check catheter for any damage. If
any damage is noted, cut damaged section off before connecting catheter to
port.
CONNECT CATHETER TO PORT
1. Flush all air from the port body using a 10ml syringe with a non-coring needle
filled with heparinized saline (100 USP U/ml). Insert the needle through the
septum and inject the fluid while pointing the stem up. Remember that some
patients may be hypersensitive to heparin and these patients must not have
their port flushed with heparinized saline.
2. Cleanse all system components with irrigation solution.
3. Connect catheter to port:
Caution: Prior to advancing the catheter lock, ensure that the catheter is
properly positioned. A catheter not advanced to the proper region may not
seat securely and lead to dislodgment and extravasation. The catheter must
be straight with no sign of kinking. A slight pull on the catheter is sufficient to
straighten it. Advancing the catheter lock over a kinked catheter may damage
the catheter. Do not hold the catheter or catheter lock with any instruments
that could potentially damage either piece (e.g., hemostats).
a. Align port stem with catheter.
Note: If the catheter and lock are connected and then disconnected, the
catheter end must be re-trimmed to ensure a secure re-connection.
b. Advance catheter over port stem to midway between the ribs for the 9.6F
Silicone versions; 6.6F/5F titanium stem Triniflex
the second rib and all 8F titanium stem Triniflex
second rib. Note: Advancing catheter too far along port stem could lead to
"mushrooming" of tubing when the catheter lock is advanced. Should this
occur, it is advisable to stop advancing the catheter lock, pull the catheter
back along the stem away from the port, and re-assemble the connection.
c. Advance catheter lock straight until flush with port. Catheter lock should
be sufficient to secure catheter to port. Medcomp
suturing around the catheter as doing so could compress,
damage catheter.
9.6F Titanium Stem Silicone Version
®
-7-
catheters just over
®
catheters just up to the
does not recommend
®
kink, or