Arrow PICC Bedienungsanleitung

Peripherally Inserted Central Catheter (PICC)
Product – Seldinger Access Conversion Set
Rx only.
Indications for Use:
The Seldinger Access Conversion Set permits venous access using the Seldinger or modified
Seldinger technique in preparation for insertion of a PICC.
Contraindications:
None known.
Clinical Benefits to be Expected:
The ability to gain access to the central circulation system through a single puncture site for
applications that include fluid infusion, blood sampling, medication administration, central
venous monitoring, and the ability to inject contrast media.
General Warnings and Precautions
Warnings:
1. Sterile, Single use: Do not reuse, reprocess or resterilize.
Reuse of device creates a potential risk of serious injury
and/or infection which may lead to death. Reprocessing of
medical devices intended for single use only may result in
degraded performance or a loss of functionality.
2. Read all package insert warnings, precautions and
instructions prior to use. Failure to do so may result in severe
patient injury or death.
3. Clinicians must be aware of potential entrapment of
the guidewire by any implanted device in circulatory
system. It is recommended that if patient has a circulatory
system implant, insertion procedure be done under direct
visualization to reduce risk of guidewire entrapment.
4. Do not apply excessive force in placing or removing catheter
or guidewire. Excessive force can cause component damage
or breakage. If damage is suspected or withdrawal cannot be
easily accomplished, radiographic visualization should be
obtained and further consultation requested.
5. Air embolism can occur if air is allowed to enter a vascular
access device or vein. Do not leave open needles, sheaths,
or uncapped, unclamped catheters in venous puncture site.
Use only securely tightened Luer-Lock connections with
any vascular access device to guard against inadvertent
disconnection.
Precautions:
1. Do not alter the guidewire or any other kit/set component
during insertion, use or removal.
2. Procedure must be performed by trained personnel well
versed in anatomical landmarks, safe technique and
potential complications.
3. Use standard precautions and follow institutional policies for
all procedures including safe disposal of devices.
4. The indications for use in children are the same as
adults; however, insertion techniques are often modified
according to the age and size of a child. If the practitioner is
inexperienced in utilizing this product in a child, appropriate
consultation should be sought.
A Suggested Procedure:
1. Follow PICC instructions for pre-insertion preparations.
Gain Initial Venous Access:
Echogenic Needle (where provided):
An echogenic needle is used to allow access to the vascular system for the introduction of a
guidewire to facilitate catheter placement. The needle tip is enhanced for approximately 1 cm
for clinician to identify exact needle tip location when puncturing the vessel under ultrasound.
2. Insert introducer needle or catheter/needle into vein.
Precaution: Do not reinsert needle into introducer catheter (where provided) to
reduce risk of catheter embolus.
3. Check for non-pulsatile flow.
Warning: Pulsatile flow is usually an indicator of inadvertent arterial puncture.
Precaution: Do not rely on blood aspirate color to indicate venous access.
Insert Guidewire:
4. Advance guidewire into introducer needle. Continue until guidewire reaches desired
depth.
Warning: Do not insert stiff end of guidewire into vessel as this may result in
vessel damage.
Precaution: Maintain firm grip on guidewire at all times. Keep sufficient
guidewire length exposed for handling purposes. A non-controlled guidewire
can lead to wire embolus.
Warning: Do not withdraw guidewire against needle bevel to reduce risk of
possible severing or damaging of guidewire.
5. Remove introducer needle (or catheter) while holding guidewire in place.
Place Peel-Away Sheath:
6. Ensure dilator is in position and locked to hub of sheath.
7. Thread peel-away sheath/dilator assembly over guidewire.
8. Grasping near skin, advance peel-away sheath/dilator assembly over guidewire with
slight twisting motion to a depth sufficient to enter vessel.
9. If necessary, enlarge cutaneous puncture site with cutting edge of scalpel, positioned
away from guidewire.
Warning: Do not cut guidewire to alter length.
Warning: Do not cut guidewire with scalpel.
• Position cutting edge of scalpel away from guidewire.
• Engage safety and/or locking feature of scalpel (where provided) when not in use to
reduce the risk of sharps injury.
Precaution: Do not withdraw dilator until sheath is well within vessel to reduce
risk of damage to sheath tip.
Precaution: Sufficient guidewire length must remain exposed at hub end of
sheath to maintain a firm grip on guidewire.
10. Check peel-away sheath placement by holding sheath in place, twisting dilator hub
counterclockwise to release dilator hub from sheath hub, withdraw guidewire and
dilator sufficiently to allow blood flow.
11. Holding sheath in place, remove guidewire and dilator as a unit.
Warning: Do not apply undue force on guidewire to reduce risk of possible
breakage.
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Use sterile technique.