Teleflex ARROW Bedienungsanleitung Seite 2

9. Stabilize position of introducer needle and carefully advance guidewire into vessel
using guidewire handle (refer to Figure 2).
Precaution: Do not advance guidewire unless there is free blood flashback in
needle hub.
When the reference mark on the clear feed tube coincides with the edge of the internal
cylinder of the guidewire handle the tip of the guidewire is located at the needle tip.
Warning: To reduce the risk of guidewire damage, do not retract guidewire
against edge of needle while in vessel.
Precaution: If resistance is encountered during guidewire advancement do not
force feed, withdraw entire unit and attempt new puncture.
10. Firmly hold introducer needle hub in position and advance catheter, over guidewire
into vessel (refer to Figure 3).
Complete Insertion:
11. Hold catheter in place and remove guidewire and or assembly, where applicable.
Pulsatile blood flow indicates positive arterial placement.
Precaution: Do not reinsert needle into catheter; doing so may result in patient
injury or catheter damage.
Secure Catheter:
12. Attach stopcock, injection cap or connecting tubing to catheter hub. Secure catheter to
patient in preferred manner using suture wings, suture groove or wing clip, where provided.
Warning: Care should be exercised that the catheter is not inadvertently
kinked at the hub area when securing catheter to the patient as this may result
in catheter damage, breakage and loss of arterial monitoring capabilities.
Warning: Do not apply tape, staples, or sutures directly to the catheter body
to reduce risk of damaging catheter, impeding catheter flow, or adversely
affecting monitoring capabilities. Secure only at indicated stabilization
locations.
Precaution: Avoid placement or securement in an area of flexion.
Figure 1
Fig. 1
Fig. 1
Fig. 1
Figure 2
Fig. 2
Fig. 2
Fig. 2
Fig. 3
Fig. 3
Figure 3
Fig. 3
Catheter Stabilization Device (where provided):
A catheter stabilization device should be used in accordance with manufacturer's
instructions for use.
13. Document insertion procedure.
Care and Maintenance:
Dressing:
Dress according to institutional policies, procedures, and practice guidelines. Change
immediately if the integrity becomes compromised (e.g. dressing becomes damp, soiled,
loosened or no longer occlusive).
Precaution: Minimize catheter manipulation throughout procedure to
maintain proper catheter tip position.
Catheter Patency:
Maintain catheter patency according to institutional policies, procedures and practice
guidelines. All personnel who care for patients with peripheral intravascular devices must
be knowledgeable about effective management to prolong catheter's dwell time and
prevent injury.
Catheter Removal Instructions:
Use aseptic technique per institutional policies and procedures.
1. Remove dressing.
Warning: Do not use scissors to remove dressing to reduce the risk of cutting
the catheter.
2. Remove catheter securement device or sutures being careful not to cut catheter.
3. Remove catheter slowly.
Warning: Do not use excessive force in removing catheter. If resistance is met
on removal, stop and follow institutional policies and procedures for difficult
to remove catheters.
Warning: Exposure of arterial circulation to atmospheric pressure may result in
entry of air into circulation.
4. Apply pressure at site after catheter is removed per institutional policies and procedures.
5. Cover site with a sterile occlusive dressing.
6. Document catheter removal procedure including confirmation that entire catheter
length has been removed per institutional policies and procedures.
For reference literature concerning patient assessment, clinician education,
insertion technique, and potential complications associated with this procedure,
consult standard textbooks, medical literature, and Arrow International LLC website:
www.teleflex.com
A pdf copy of this IFU is located at www.teleflex.com/IFU
For a patient/user/third party in the European Union and in countries with identical
regulatory regime (Regulation 2017/745/EU on Medical Devices); if, during the use
of this device or as a result of its use, a serious incident has occurred, please report it to
the manufacturer and/or its authorized representative and to your national authority.
The contacts of national competent authorities (Vigilance Contact Points) and further
information can be found on the following European Commission website: https://
ec.europa.eu/growth/sectors/medical-devices/contacts_en
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