MedComp SPLIT-STREAM Instructions D'utilisation page 18

19. Note the desired location at which the cuff will be positioned.
20. Administer sufficient anesthetic to the entire length of tunnel path
and exit site.
21. Perform retrograde tunnel two possible ways.
21a. Using straight blunt tunneler (remove tunneling sleeve). Attach
tunneler to tunneler adaptor at priming end of lumen. Tunnel down
chest wall.
21b. Using ring handled tunneler. Insert ring handled tunneler
through exit site up to the catheter through tunnel. Attach
catheter to the tunneler and pull lumen back through to the
exit site.
21a.
22. Remove and retain temporary lumen clamp for subsequent
instructions.
23. Make an incision at the tunnel exit site. Make the incision at the
exit site wide enough to accommodate the cuff, approximately 1cm.
24. Use blunt dissection to create the subcutaneous tunnel opening.
Insert the tunneler into the insertion site and create a short
subcutaneous tunnel. Tunnel in the direction of the tunnel exit site
incision. Do not tunnel through muscle. The tunnel should be made
with care in order to prevent damage to surrounding vessels.
24a. For Femoral Vein Insertion: Create subcutaneous tunnel with the
catheter exit site in the pelvic region.
Warning: Do NOT over-expand subcutaneous tissue during tunneling.
Over-expansion may delay/prevent cuff in-growth.
25. Lead catheter into the tunnel gently. Do not pull or tug the catheter
tubing. If resistance is encountered, further blunt dissection may
facilitate insertion.
Warning: Do NOT pull tunneler out at an angle. Keep tunneler straight
to prevent damage to catheter tip.
Note: A tunnel with a wide gentle arc lessens the risk of kinking. The
tunnel should be short enough to keep the extension set of the catheter
from entering the exit site, yet long enough to keep the cuff 2cm
(minimum) from the skin opening.
26. Reattach temporary lumen clamp in same location as previously
noted in #6.
INSTALLATION OF Split-Stream
27. Remove tunneling adaptor by cutting catheter lumen squarely at
the designated priming volume lines, and in such a manner that
produces a clean, smooth surface. Cut at priming volume line
furthest from cuff. Cut only at designated priming volume lines.
28. Attach white secondary clamps. Close clamps.
Caution: Use only Medcomp
catheter.
•
Clamp using catheter clamp provided to prevent blood loss or air
embolism.
Warning: Do NOT soak catheter end or adapter in any antiseptic (i.e.
alcohol, PVP, etc.) before or during adapter installation.
Caution: Arterial extension is to be attached to lumen with red printing
and the venous extension is to be attached to the lumen with blue
printing.
EXTENSION SET:
®
Split-Stream
®
-16-
21b.
extension sets with this
®