MedComp Split-Stream Mode D'emploi page 19

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.
29. Take apart female adapter by twising parts (A) and (C) apart. The
compression ring (B) should be found in part (A).
Warning: Do NOT attempt to separate the extension from the adapter.
These parts are bonded together.
30. Slide adapter part (A) over catheter lumen (D). Slide compression
ring (B) over catheter lumen (D). Insert metal cannula of the adapter
part (C) into catheter lumen with a twisting motion, making sure the
tubing is FULLY seated (until no metal is visible).
31. Slide compression ring (B) toward end of catheter lumen/adapter
assembly (C) until seated as shown.
Caution: Compression ring MUST be fully seated.
32. Slide adapter part (A) toward end of catheter lumen/adapter
assembly (C) and twist adapter together firmly. A gentle tug will
assure proper assembly.
Caution: Assembly threads MUST be fully engaged.
33. Attach syringes on both Split-Stream
clamps. Remove the temporary lumen clamp from the catheter.
Blood should aspirate easily from both catheters. If either catheter
exhibits excessive resistance to blood aspiration, the catheter may
need to be rotated or repositioned to sustain adequate blood flow.
34. Once adequate aspiration has been achieved, both lumens should
be irrigated with heparin filled syringes using quick bolus
technique. Assure that extension clamps and white secondary
clamps are open for irrigation procedure.
Caution: Assure that all air has been aspirated from catheter and the
Split-Stream
®
embolism.
35. Once the catheters are locked with heparin, close the extension
clamps and white secondary clamps, remove the syringes, and
install the injection caps onto the SC4 extension sets female luers.
36. Confirm proper tip placement with fluoroscopy. The distal venous
tip should be positioned at the level of the caval atrial junction or
into the right atrium to ensure optimal blood flow (as
recommended in current NKF DOQI Guidelines).
Note: Femoral catheter tip placement is recommended at the junction
of the iliac vein and the inferior vena cava.
Warning: Failure to verify catheter placement may result in serious
trauma or fatal complications.
CATHETER SECUREMENT AND WOUND DRESSING:
37. Suture insertion site closed. Suture the catheter to the skin using
the detachable suture wing hub. Second detachable suture wing
may be applied on lumen between exit site and detachable hub at
physician's discretion. Do not suture the catheter tubing. Suture
wing hub(s) should be flush against patient's skin.
extension sets. Failure to do so may result in air
C
B
B
C
D
C
B
C
A
extension sets, and open
®
1
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A
A