4. Remove pigtail straightener from catheter prior to
insertion.
5. Place the catheter/cannula/trocar assembly into the fluid
collection site using standard insertion technique.
Note: Placement should be confirmed with diagnostic
imaging.
6. After placement is confirmed, remove the trocar stylette
and stiffening cannula.
7. To engage the suture locking mechanism: Pull the
suture until desired pigtail is formed. Rotate the suture
locking mechanism distally to hold the suture in place.
See Figure 3.
Note: If the catheter needs to be repositioned, unlock the
suture locking mechanism by rotating the arm proximally
to the point of resistance.
Precaution: Do not rotate the suture locking mechanism
beyond the point of resistance. Rotating the suture
locking mechanism beyond the point of resistance will
not release the suture to allow the pigtail to straighten
upon removal.
8. Once placement is confirmed, and the suture locking
mechanism has been rotated to the most distal position,
press the suture locking mechanism into the hub to
secure it. The suture locking mechanism is now locked
into position. See Figure 4.
9. The ReSolve Locking Drainage Catheter is now ready to
be connected to appropriate drainage bag, tubing or
dead end cap.
WARNING: If using alcohol to clean the catheter hub,
allow sufficient time for alcohol to dry before connecting
the drainage tubing or dead end cap.
WARNING: DO NOT over tighten the connection
between the drainage catheter and drainage tubing
or dead end cap.
Note: A flush regimen should be designed for the
circumstances of each patient and the protocol of the
physician.
Note: Instruct patient or other healthcare personnel
in appropriate device function and/or maintenance.
INSTRUCTIONS FOR USE OPTION 2:
SELDINGER ENTRY TECHNIQUE OR GUIDE WIRE
EXCHANGE
1. Remove the stiffening cannula and trocar stylette
assembly from catheter.
Figure 2
Figure 3
Figure 4
2. Ensure that the distal portion of the catheter is wet prior
to placement. To activate the hydrophilic coating, wet the
distal portion of the ReSolve Locking Drainage catheter
prior to use with sterile water or saline. Keep the distal
portion of the catheter wet during placement. Activating
the hydrophilic coating will make the catheter slippery to
help with catheter placement.
WARNING: DO NOT wipe catheter with dry gauze or any
solvents because it may damage the catheter coating.
3. Slide pigtail straightener along distal portion of catheter
to straighten curve prior to placing the stiffening cannula
into the catheter. Place the stiffening cannula into the
catheter and tighten the luer lock fittings. See Figure 5.
4. Remove pigtail straightener from catheter prior to
insertion.
5. Place catheter/cannula assembly over appropriate
guide wire and advance into the fluid collection site.
The catheter accommodates a 0.038" (0.97 mm) wire.
See Figure 6.
Note: Placement should be confirmed with diagnostic
imaging.
6. After placement is confirmed, remove the stiffening
cannula and guide wire.
7. To engage the suture locking mechanism: Pull the
suture until desired pigtail is formed. Rotate the suture
locking mechanism distally to hold the suture in place.
See Figure 7.
Note: If the catheter needs to be repositioned, unlock the
suture locking mechanism by rotating the arm proximally
to the point of resistance.
Precaution: Do not rotate the suture locking mechanism
beyond the point of resistance. Rotating the suture
locking mechanism beyond the point of resistance will
not release the suture to allow the pigtail to straighten
upon removal.
8. Once placement is confirmed, and the suture locking
mechanism has been rotated to the most distal position,
press the suture locking mechanism into the hub to
secure it. The suture locking mechanism is now locked
into position. See Figure 8.
Figure 5
Figure 6
Figure 7
Figure 8