MedComp SPLIT CATH Gebrauchsanleitung Seite 6

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The patient should lie completely on his/her back. Both femoral
arteries should be palpated for site selection and consequence
assessment. The knee on the same side of the insertion site should
be flexed and the thigh abducted. Place the foot across the opposite
leg. The femoral vein is then posterior/medial to the artery.
Caution:
The incidence of infection may be increased with femoral vein
insertion.
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Confirm final position of catheter with chest x-ray. Routine x-ray
should always follow the initial insertion of this catheter to confirm
proper tip placement prior to use.
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Femoral catheter tip placement is recommended at the junction of
the iliac vein and the inferior vena cava.
DIRECTIONS FOR SELDINGER INSERTION
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Read instructions carefully before using this device. The catheter
should be inserted, manipulated, and removed by a qualified,
licensed physician or other qualified health care professional under
the direction of a physician.
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The medical techniques and procedures described in these
instructions for use do not represent all medically acceptable
protocols, nor are they intended as a substitute for the physician's
experience and judgment in treating any specific patient.
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Use standard hospital protocols when applicable.
1. Strict aseptic technique must be used during insertion,
maintenance, and catheter removal procedures. Provide a sterile
operative field. The Operating Room is the preferred location for
catheter placement. Use sterile drapes, instruments, and
accessories. Shave the skin above and below the insertion site.
Perform surgical scrub. Wear gown, cap, gloves, and mask. Have
patient wear mask.
2. The selection of the appropriate catheter length is at the sole
discretion of the physician. To achieve proper tip placement, proper
catheter length selection is important. Routine x-ray should always
follow the initial insertion of this catheter to confirm proper
placement prior to use.
3. Administer sufficient local anesthetic to completely anesthetize the
insertion site.
4. Make a small incision at the exit site on the chest wall
approximately 8-10cm below the clavicle. Make a second incision
above and parallel to the first, at the insertion site. Make the
incision at the exit site wide enough to accommodate the cuff,
approximately 1cm.
5. Use blunt dissection to create the subcutaneous tunnel open-
ing. Unthread stylet cap and slide tip into the arterial lumen until
the tip is no longer visible. Attach venous lumen to trocar. Slide
catheter tunneling sleeve over the catheter making certain that the
sleeve covers the arterial holes of the catheter. Insert the trocar into
the exit site and create a short subcutaneous tunnel. Do not tunnel
through muscle. The tunnel should be made with care in order to
prevent damage to surrounding vessels.
5a. For Femoral Vein Insertion: Create subcutaneous tunnel with the
catheter exit site in the pelvic region.
Warning: Do not over-expand subcutaneous tissue during tunneling.
Over-expansion may delay/prevent cuff in-growth.
6. Lead catheter into the tunnel gently. Do not pull or tug the catheter
tubing. If resistance is encountered, further blunt dissection may
facilitate insertion. Remove the catheter from the trocar and sleeve.
Caution: Do not pull tunneler out at an angle. Keep tunneler straight to
prevent damage to catheter tip.
Note: A tunnel with a wide gentle arc lessens the risk of kinking. The
tunnel should be short enough to keep the Y-hub of the catheter from
entering the exit site, yet long enough to keep the cuff 2cm (minimum)
from the skin opening.
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