Arrow MAC Bedienungsanleitung Seite 5

be "locked" through injection cap(s) using standard hospital
protocol. Pinch/slide clamps are provided on extension lines
to occlude fl ow through each lumen during line and injection
cap changes. Precaution: To minimize the risk of damage to
extension lines from excessive pressure, each clamp must
be opened prior to infusing through that lumen.
19. Feed catheter through access device assembly into vessel.
Advance catheter to desired position.
valve must be occluded at all times to minimize the risk
of air embolism or hemorrhage. If catheter introduction
is delayed, temporarily cover valve opening with sterile-
gloved fi nger until obturator is inserted. Use Arrow
obturator, either included with this product or sold
separately, as dummy catheter with hemostasis valve
assembly. This will ensure that leakage does not occur and
inner seal is protected from contamination.
20. Hold access device in place and reposition catheter
contamination shield so that distal hub is approximately fi ve
inches (12.7 cm) from hemostasis valve (refer to Fig. 10).
5 in. approx.
21. Hold rear hub (Tuohy-Borst adapter end) of catheter
contamination shield in place. Disengage distal hub from inner
feed tube by moving forward. Advance distal hub forward
toward hemostasis valve assembly. Hold assembly in place
(refer to Fig. 11).
Press distal hub over
cap seal (twist to lock)
22. Press distal hub of catheter contamination shield over
assembly cap. Twist to lock (refer to Fig. 12).
• Orient slot in hub with locking pin on assembly cap.
• Slide hub forward over cap and twist.
23. Grasp insertion catheter through front portion of catheter
contamination shield and hold in place while repositioning
Tuohy-Borst adapter end as desired (refer to Fig. 13).
Precaution: Do not reposition Tuohy-Borst adapter end on
insertion catheter once moved to this fi nal position.
SZ11142111A0.indb Sec2:4 SZ11142111A0.indb Sec2:4
Warning: Hemostasis
®
14
Fig. 10
Advance toward
Hemostasis valve
Tuohy-Borst adapter
hold in place
Fig. 11
Fig. 12
4
Fig. 13
24. Tighten Tuohy-Borst adapter by pressing down on cap
and simultaneously turning clockwise to secure hub to
catheter. Gently pull insertion catheter to verify securement.
Precaution: Do not overtighten Tuohy-Borst adapter
to minimize the risk of lumen constriction or insertion
catheter damage.
25. Tuohy-Borst adapter end of catheter contamination shield
should be secured with sterile tape to inhibit insertion catheter
movement (refer to Fig. 14). Precaution: Do not apply tape
to the transparent sheathing on the shield to minimize the
risk of tearing material.
Sterile tape
Tuohy-Borst adapter
Fig. 14
26. In kits where provided, secure access device to patient using
staple anchoring device or suture per hospital/agency protocol.
Precaution: Do not suture directly to the outside diameter
of access device to minimize the risk of cutting or damaging
access device or impeding fl ow.
Staple Anchoring Device Instructions:
• Position thumb and index fi nger of dominant hand on
indented surface of staple anchoring device.
• Pass staple point through eye of access device suture hub
(refer to Fig. 15).
Fig. 15
• Tent skin and position with hub eye between staple opening.
Precaution: Do not place staple over access device body
or extension lines except at indicated anchoring location
to minimize the risk of damage to access device.
• Firmly squeeze anchoring device together to close staple and
secure access device to skin (refer to Fig. 16).
Reposition seal
end as desired
Grasp catheter here
Catheter
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