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• Use suture wings to secure the catheter without compromising catheter

patency.

• Do not place sutures around catheter.

• Do not use the device if there is any evidence of mechanical damage or leak-

ing.  Damage to the catheter may lead to rupture, fragmentation and possible
embolism and surgical removal.

• Accessories and components used in conjunction with this device should

incorporate Luer lock connections.

• If signs of extravasation exist, discontinue injections.  Begin appropriate med-

ical intervention immediately.

• Infusion pressure greater than 25 psi (172 kPa) may damage blood vessels

and viscus and is not recommended.  DO NOT USE A SYRINGE SMALLER
THAN 10 ml!

For those unfamiliar with the procedure, published studies and a video are
available from Bard Access Systems, Inc. depicting insertion and mainte-
nance techniques.

For further information or questions, please call 800-443-3385 or 
801-595-0700.

Possible Complications

The potential exists for serious complications including the following:

Air Embolism

Exit Site Infection

Phlebitis

Bleeding

Exit Site Necrosis

Spontaneous Catheter

Brachial Plexus Injury

Extravasation

Tip Malposition or Retraction

Cardiac Arrhythmia

Fibrin Sheath Formation

Thromboembolism 

Cardiac Tamponade

Hematoma

Venous Thrombosis

Catheter Erosion

Intolerance Reaction to

Ventricular Thrombosis 

Through the Skin

Implanted Device

Vessel Erosion

Catheter Embolism

Laceration of Vessels or

Risks Normally Associated 

Catheter Occlusion

Viscus

with Local or General 

Catheter-related Sepsis

Myocardial Erosion

Anesthesia, Surgery and  

Endocarditis

Perforation of Vessels

Post Operative Recovery

or Viscus

III. After placement, observe the following precautions to avoid 

device damage and/or patient injury:

5

Precautions & Possible Complications

Summary of Contents for Groshong NXT PICC

Page 1: ...Instructions For Use...

Page 2: ...ter 4 Prepare for Insertion 5 Apply Tourniquet and Drape 6 Perform Venipuncture 7 Withdraw the Introducer Needle 8 Insert and Advance the Catheter 9 Complete Catheter Insertion 10 Retract Introducer R...

Page 3: ...exceed 80 mm Hg to open the valve inward Also negative pressure vacuum will cause the valve to open inward allowing blood aspiration Positive pressure into the catheter gravity pump syringe will open...

Page 4: ...n 30 days or long greater than 30 days term peripheral access to the central venous system for intravenous therapy or blood sampling Contraindications The Groshong NXT PICC is contraindicated whenever...

Page 5: ...Handle and discard in accordance with accepted medical practice and applicable local state and federal laws and regulations ChloraPrep One Step Applicator Flammable keep away from fire or flame Do no...

Page 6: ...he catheter will drop if the catheter connector is held above the level of the patient s heart and opened to air To help prevent a drop in the fluid level and thus air entry while changing injection c...

Page 7: ...insertion and mainte nance techniques For further information or questions please call 800 443 3385 or 801 595 0700 Possible Complications The potential exists for serious complications including the...

Page 8: ...ecubital fossa are recommended basilic cephalic median cubital veins with the basilic preferred Release tourniquet 2 Patient Position Catheter Measurement Position the arm at a 90 angle For SVC placem...

Page 9: ...nds Completely wet the treatment area with antiseptic Allow the area to dry for approximately 30 seconds Do not blot or wipe away Maximum treatment area for one applicator is approximately 130 cm2 app...

Page 10: ...Remove the needle guard Grip only the needle hub during insertion Do not apply excessive pressure to the T handles Perform venipuncture and observe for flashback Holding the needle stationary advance...

Page 11: ...be felt approximately 7cm distal of catheter hub when introducing the dual lumen catheter into the sheath due to an increase in O D The introducer may be partially split but not removed to facilitate...

Page 12: ...when the tip has advanced to the shoulder have the patient turn head chin on shoulder toward the insertion side to pre vent possible cannulation into the jugular vein Position the arm at a 90 angle ma...

Page 13: ...connector Remove the suture wing from the delivery card Squeeze the suture wing together so that it splits open Place the suture wing around the catheter near the venipuncture site Apply StatLock stab...

Page 14: ...to normal shape Withdraw both the catheter and stylet together approximately 2 cm and reattempt stylet removal Repeat this proce dure until the stylet is easily removed 13 Remove Non Splitable Introd...

Page 15: ...the oversleeve portion of the connector and the StatLock stabilization device compatible connector with extension leg together aligning the grooves on the oversleeve por tion of the connector with th...

Page 16: ...edi ately after insertion and connector assembly the catheter may be kinked within the connector assembly If this is the case trim the catheter just distal to the connector oversleeve clear and attach...

Page 17: ...15 Insertion Instructions 18 Securing the Groshong NXT PICC Dual Lumen Singe Lumen insertion insertion to bifurcation Catheter inserted within 7cm of bifurcation...

Page 18: ...umen Caution To reduce potential for blood backflow into the catheter tip always remove nee dles or needleless caps slowly while injecting the last 0 5 ml of saline Occluded or Partially Occluded Cath...

Page 19: ...tween this date and product use the user should contact Bard Access Systems Inc to see if additional product information is available Revised date March 2007 Bard Groshong ClearVue and StatLock are tr...

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