Teleflex ARROW ZVK Bedienungsanleitung Seite 4

stabilization device, stapling or suturing. Both catheter clamp and fastener need to
be secured to reduce risk of catheter migration (refer to Figure 5).
25. Ensure insertion site is dry before applying dressing per manufacturer's instructions.
26. Assess catheter tip placement in compliance with institutional policies and procedures.
27. If catheter tip is malpositioned, assess and replace or reposition according to
institutional policies and procedures.
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.
Catheter Patency:
Maintain catheter patency according to institutional policies, procedures and practice guidelines.
All personnel who care for patients with central venous catheters must be knowledgeable about
effective management to prolong catheter' s dwell time and prevent injury.
Pressure Injection Instructions - Use sterile technique.
1. Obtain a visual image to confirm catheter tip position prior to each pressure injection.
Precaution: Pressure injection procedures must be performed by trained
personnel well versed in safe technique and potential complications.
2. Identify lumen for pressure injection.
3. Check for catheter patency:
• Attach 10 mL syringe filled with sterile normal saline.
• Aspirate catheter for adequate blood return.
• Vigorously flush catheter.
Warning: Ensure patency of each lumen of catheter prior to pressure injection to
minimize the risk of catheter failure and/or patient complications.
4. Detach syringe and needleless connector (where applicable).
5. Attach pressure injection administration set tubing to appropriate extension line of
catheter according to manufacturer's recommendations.
Precaution: Do not exceed ten (10) injections or catheter's maximum
recommended flow rate located on product labeling and catheter luer hub to
minimize the risk of catheter failure and/or tip displacement.
Warning: Discontinue pressure injections at first sign of extravasation or
catheter deformation. Follow institutional policies and procedures for
appropriate medical intervention.
Precaution: Warm contrast media to body temperature prior to pressure
injection to minimize the risk of catheter failure.
Figure 5
Precaution: Pressure limit settings on injector equipment may not prevent over
pressurizing an occluded or partially occluded catheter.
Precaution: Use appropriate administration set tubing between catheter and
pressure injector equipment to minimize the risk of catheter failure.
Precaution: Follow the contrast media manufacturer's specified instructions for
use, contraindications, warnings, and precautions.
6. Inject contrast media in accordance with institutional policies and procedures.
7. Aseptically disconnect catheter lumen from pressure injector equipment.
8. Aspirate, then flush catheter lumen using 10 mL syringe or larger filled with sterile
normal saline.
9. Disconnect syringe and replace with sterile needleless connector or injection cap on
catheter extension line.
Catheter Removal Instructions:
1. Position patient as clinically indicated to reduce risk of potential air embolus.
2. Remove dressing.
3. Release catheter and remove from catheter securement device(s).
4. Ask patient to take a breath and hold it if removing jugular or subclavian catheter.
5. Remove catheter by slowly pulling it parallel to skin. If resistance is met while
STOP
removing catheter
Precaution: Catheter should not be forcibly removed, doing so may result
in catheter breakage and embolization. Follow institutional policies and
procedures for difficult to remove catheter.
6. Apply direct pressure to site until hemostasis is achieved followed by an ointment-
based occlusive dressing.
Warning: Residual catheter track remains an air entry point until site is
epithelialized. Occlusive dressing should remain in place for at least 24 hours or
until site appears epithelialized.
7. Document catheter removal procedure including confirmation that entire catheter
length and tip 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
This is the "Arrow CVC" Summary of Safety and Clinical Performance (SSCP)
location after the launch of the European Database on Medical Devices/Eudamed:
https://ec.europa.eu/tools/eudamed
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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