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2. Attach the other end of the tubing to an appropriate device to puncture the
vacuum bottle seal.
3. Push the Luer Adapter or the Universal Tubing Adapter onto the catheter
valve until you hear or feel a click. Tug gently to ensure connection is secure.
4. Puncture the vacuum bottle seal and open the pinch clamp to drain.
5. When ready to disconnect suction, pinch the wings on the Luer Adapter or
Universal Tubing Adapter until it easily comes away from the catheter valve.
WARNING: The Luer Adapter and Universal Tubing Adapter create an open
pathway into or out of the catheter; to close the pathway when not in use,
tighten the pinch clamp.
DRESSING THE CATHETER
WEEKLY DRESSING PROCEDURE (OPTION #1)
1. Wipe the end of the catheter valve with a new alcohol pad.
2. Place the valve protective cap on the catheter valve.
3. Place a split gauze or foam pad on the skin around the catheter.
NOTE: Make sure the exit site and skin around it are dry before completing
the dressing.
4. Lay the catheter straight down toward the patient's waist.
5. Place the gauze over the top of the catheter.
6. Hold gauze, catheter and split gauze or foam pad in place with one hand.
7. Place clear dressing over the catheter and gauze. Make sure the clear dressing
sticks to the skin around the gauze. Smooth down the dressing edges.
8. Optional: Tape the catheter to the skin where it is most comfortable for the
patient.
ALTERNATIVE DRESSING PROCEDURE
(WITH EVERY DRAINAGE PROCEDURE) (OPTION #2)
1. Wipe the end of the catheter valve with a new alcohol pad.
2. Place the valve protective cap on the catheter valve.
3. Place a split gauze or foam pad on the skin around the catheter.
NOTE: Make sure the exit site and skin around it are dry before completing
the dressing.
4. Coil the catheter on top of the split gauze or foam pad. Place gauze on top of
the coiled catheter.
5. Hold gauze, coiled catheter and split gauze or foam pad in position.
6. Place clear dressing over the catheter and gauze. Make sure the clear dressing
sticks to the skin around the gauze. Smooth down the dressing edges.
CATHETER MAINTENANCE
See Dressing Kit and Drainage Kit instructions for use and/or patient guide for
regular drainage and catheter maintenance information.
Catheters that present resistance to flushing and aspiration may be partially
or completely occluded. Do not flush against resistance. Do not flush with a
syringe smaller than 10 mL. If the lumen will neither flush nor aspirate, and it has
been determined that the catheter is occluded, a declotting procedure may be
followed per institution protocol.
WARNING: Do not flush or attempt to clear an occluded catheter with a syringe
smaller than 10 mL. In the case of valve or catheter damage, the Aspira Valve
Assembly/Repair Kit may be used to replace the valve.
CATHETER REMOVAL
The retention cuff facilitates tissue in-growth. The catheter must be surgically
removed. Free the cuff from the tissue and pull the catheter gently and smoothly.
REFERENCES
Pien, G.W.; Gant, M.J.; Washam, C.L.; Sterman, D.H. "Use of an implantable Pleural
Catheter for Trapped Lung Syndrome in Patients with Malignant Pleural Effusion. " ,
Chest, Vol. 119, No. 6, June 2001, pp. 1641-1646.
Putnam, J.B. "Malignant Pleural Effusions", Surgical Clinics of North America, Vol.
82, 2002, pp. 867-883.
Pollak, J.S. "Malignant Pleural Effusions: Treatment with Tunneled Long-Term
Drainage Catheters", Current Opinion in Pulmonary Medicine, Vol. 8, No. 4, pp.
302-307.
Brubacher, S.; Gobel, B.H. "Use of the Pleurx Pleural Catheter for the Management
of Malignant Pleural Effusions", Clinical Journal of Oncology Nursing, Vol. 7, No. 1,
January/February 2003, pp. 35-38.
Belfort, M.A.; Stevens, P. J.; DeHaek, K.; Soeters, R.; Krige, J.E.J. "A New Approach
to the Management of Malignant Ascites; a Permanently Implanted Abdominal
Drain", European Journal of Surgical Oncology, Vol. 16, No. 1, February 1990, pp.
47-53.
Bui, C.; Martin, C. J.; Currow, D. J. "Effective Community Palliation of Intractable
Malignant Ascites with a Permanently Implanted Abdominal Drain", Journal of
Palliative Medicine, Vol. 2, No. 3, Fall 1999, pp. 319-321.
Richard III, H. M.; Coldwell, D. M.; Boyd-Kranis, R. L.; Murthy, R; Van Echo, D. A.
"Pleurx Tunneled Catheter in the Management of Malignant Ascites", Journal
of Vascular and Interventional Radiology, Vol. 12 No. 3, March 2001, pp. 373-375.
Rosenberg, S.; Coutney, A.; Nemcek jr., A. A.; Omary, R. A. "Comparison of
Percutaneous Management Techniques for Recurrent Malignant Ascites", Journal
of Vascular and Interventional Radiology, Vol. 15, No. 10, October 2004; pp. 1129-
1131.
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Do Not Re-sterilize
Do Not Use If Package is Damaged and Consult Instruction
for Use
Single Use
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Sterilized Using Ethylene Oxide
Caution: Federal (USA) law restricts this device to sale by or
on the order of a physician
Medical Device
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Single Sterile Barrier
Consult Instructions for Use
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com/ifu and enter IFU ID. For printed copy, call U.S.A. or EU
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