MedComp ARCH-FLO Instructions D'utilisation page 6

3. Release tourniquet.
PREPARE CATHETER:
4. Preflush catheter.
•
Attach needleless access port(s) to female luer(s) of catheter.
•
Attach a saline filled syringe to the needleless access port and
completely flush catheter. Remove syringe(s) prior to clamping
extension(s).
Caution: The needleless access port should not be used with
needles, blunt cannula, or other non-luer connectors, or luer
connectors with visible defects. If needle access is attempted, the
needleless access port must be replaced immediately.
INSERTION:
5. Follow local institutional policy and guidelines set forth in the
current standards of practice for aseptic techniques during
catheter insertion, maintenance and removal.
6. May apply tourniquet to arm above anticipated insertion site to
distend the vein.
7. Insert the introducer needle with attached syringe into the
target vein. Assess for blood return to insure proper placement.
Release tourniquet.
8. Remove the syringe and place thumb over the end of the needle
to prevent blood loss or air embolism. Draw the flexible end of
marked .018" guidewire back into advancer so that only the end
of the guidewire is visible. Insert the advancer's distal end into
the needle hub. Advance guidewire with forward motion into
and past the needle hub into the target vein.
9. Remove needle, leaving guidewire in the target vein. Thread
sheath/dilator over the proximal end of the guidewire
into target vein. Remove the guidewire leaving the sheath and
dilator in the vein.
Caution: DO NOT bend the sheath/dilator during insertion as
bending will cause the sheath to prematurely tear. Hold sheath/
dilator close to the tip (approximately 3cm from tip) when initially
inserting through the skin surface. To progress the sheath/dilator
towards the vein, regrasp the sheath/dilator a few centimeters
(approximately 5cm) above the original grasp location and push
down on the sheath/dilator. Repeat procedure until sheath/dilator
is fully inserted.
Caution: Never leave sheath in place as an indwelling catheter.
Damage to the vein will occur.
10. Remove dilator from sheath.
11. Insert distal tip of catheter into and through the sheath until
catheter tip is correctly positioned in the target vein.
12. Remove the tear-away sheath by slowly pulling it out of the
vessel while simultaneously splitting the sheath by grasping the
tabs and pulling them apart (a slight twisting motion may be
helpful).
Caution: Do not pull apart the portion of the sheath that remains
in the vessel. To avoid vessel damage, pull back the sheath as far as
possible and tear the sheath only few centimeters at a time.
Caution: Do not clamp the lumen portion of the catheter. Clamp
only the extension(s). Do not use serrated forceps, use only the
in-line clamp(s) provided.
13. Attach syringe(s) to extension(s) and open clamp(s). Blood
should aspirate easily. If excessive resistance to blood
aspiration is experienced, the catheter may need to be
repositioned to obtain adequate flow.
14. Once adequate aspiration has been achieved, lumen(s) should
be irrigated with saline filled syringe(s). Clamp(s) should be
open for this procedure.
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