MedComp Split-Stream Mode D'emploi page 16

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The patient should lie completely on his/her back. Both femoral
arteries should be palpated for site selection and consequence
assessment. The knee on the same side of the insertion site should
be flexed and the thigh abducted. Place the foot across the opposite
leg. The femoral vein is then posterior/medial to the artery.
Caution: The incidence of infection may be increased with femoral vein
insertion.
• Confirm final position of catheter with chest x-ray. Routine x-ray
should always follow the initial insertion of this catheter to confirm
proper tip placement prior to use.
• Femoral catheter tip placement is recommended at the junction of
the iliac vein and the inferior vena cava.
• Read instructions carefully before using this device. The catheter
should be inserted, manipulated, and removed by a qualified,
licensed physician or other qualified health care professional under
the direction of a physician.
• The medical techniques and procedures described in these
instructions for use do not represent all medically acceptable
protocols, nor are they intended as a substitute for the physician's
experience and judgment in treating any specific patient.
• Use standard hospital protocols when applicable.
1. Strict aseptic technique must be used during insertion,
maintenance, and catheter removal procedures. Provide a sterile
operative field. The Operating Room is the preferred location for
catheter placement. Use sterile drapes, instruments, and
accessories. Shave the skin above and below the insertion site.
Perform surgical scrub. Wear gown, cap, gloves, and mask. Have
patient wear mask.
2. The selection of the appropriate catheter length is at the sole
discretion of the physician. To achieve proper tip placement, proper
catheter length selection is important. Routine x-ray should
always follow the initial insertion of this catheter to confirm proper
placement prior to use.
3. Administer sufficient local anesthetic to completely anesthetize the
insertion site.
4. Split the arterial and venous lumens by grasping the distal ends
and gently pull apart the lumens to the point printed "DO NOT
SPLIT BEYOND THIS POINT".
Warning: Splitting the lumens beyond this point may result in
excess tunnel bleeding, infection, or damage to the catheter
lumens.
Caution: Do not attempt to split priming volume end of lumens.
5. Attach syringe to tunneling adaptor and prime lumens. Ensure
saline exits both arterial and venous distal tips.
DIRECTIONS FOR SELDINGER INSERTION
Femoral Vein
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