Bard Power-Trialysis, Instructions For Use Manual, Page: 2 / 10

New Important Information:
• Contrast media should be warmed to body temperature (37°C) prior to power injection.
WARNING: Failure to warm contrast media to body temperature (37°C) prior to power injection may result in
catheter failure (e.g. catheter rupture).
• Vigorously flush the catheter using a 10 mL or larger syringe and sterile normal saline prior to and immedi-
ately following the completion of power injection studies. This will ensure the patency of the catheter and
prevent damage to the catheter. Resistance to flushing may indicate partial or complete catheter occlusion.
Do not proceed with power injection study until occlusion has been cleared.
WARNING: Failure to ensure patency of the catheter prior to power injection studies may result in
catheter failure.
• Use only the lumen marked “Power Injectable” for power injection of contrast media.
WARNING: Do not use lumens not marked “Power Injectable” for power injection of contrast media.
• Do not exceed the maximum flow rate of 5 mL/sec.
WARNING: Power injector machine pressure limiting feature may not prevent over-pressurization of an
occluded catheter, which may lead to catheter failure.
WARNING: Exceeding the maximum flow rate of 5 mL/sec or the maximum pressure of power injectors of
300 psi may result in catheter failure and/or catheter tip displacement.
• WARNING: Catheter indication for power injection of contrast media implies the catheter’s ability to with-
stand the procedure, but it does not imply appropriateness of the procedure for a particular patient. A suit-
ably trained clinician is responsible for evaluating the health status of a patient as it
pertains to a power injection procedure.
• WARNING: Do not power inject through a catheter that exhibits signs of clavicle-first rib compression or
pinch-off, as it may result in catheter failure.
• WARNING: If local pain, swelling, or signs of extravasation are noted, the injection should be stopped imme-
diately.
Power Injection Procedure
1. Remove the end cap from the catheter.
2. Attach a 10 mL or larger syringe filled with sterile normal saline.
3. Aspirate for adequate blood return and vigorously flush the catheter with the full 10 mL of sterile normal saline.
WARNING: To prevent systemic heparanization of the patient, the heparin solution must be aspirated out of the power injectable
lumen immediately prior to use.
WARNING: Failure to ensure patency of the catheter prior to power injection studies may result in catheter failure.
4. Detach syringe.
5. Attach the power injection device to the catheter per manufacturer’s recommendations.
6. Contrast media should be warmed to body temperature (37° C) prior to power injection.
WARNING: Failure to warm contrast media to body temperature (37° C) prior to power injection may result in catheter
failure.
7. Use only the lumen marked “Power Injectable” for power injection of contrast media.
WARNING: Use of lumens not marked “Power Injectable” for power injection of contrast media may cause failure of the cath-
eter.
8. Complete power injection study taking care not to exceed the flow rate limits.
WARNING: Exceeding the maximum flow rate of 5 mL/sec or the maximum pressure of power injectors of 300 psi may result in
catheter failure and/or catheter tip displacement.
WARNING: Power injector machine pressure limiting feature may not prevent over-pressurization of an occluded catheter, which
may lead to catheter failure.
9. Disconnect the power injection device.
10. Flush the catheter with 10 mL of sterile normal saline, using a 10 mL or larger syringe. In addition, lock the lumen marked “Power
Injectable” per institution protocol for central lines. Usually one mL is adequate.
11. Close clamp and replace the end cap on the catheter.
Description
Power-Trialysis ™ Short-Term Dialysis Catheters are made of thermosensitive polyurethane, which softens when exposed to body tempera-
ture. The catheter is divided into three separate lumens permitting continuous blood flow. Both the venous (blue) and the arterial (red)
lumens may be used for hemodialysis, hemoperfusion, and apheresis treatments. The distal (purple) lumen is completely independent
from the two dialysis lumens and may be used for intravenous therapy, power injection of contrast media, and central venous pressure
monitoring. The distal lumen can also be accessed for blood draws and infusion of medications.
New Important Information:
New Important Information: