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•  Intended for Single Use. DO NOT REUSE. Reuse and/or repackaging may create a risk 

of patient or user infection, compromise the structural integrity and/or essential material 
and design characteristics of the device, which may lead to device failure, and/or lead to 
injury, illness or death of the patient. 

•  Do not use the catheter if there is any evidence of mechanical damage or leaking. 

Damage to the catheter may lead to rupture, fragmentation, possible embolism, and 

surgical removal.

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

vention immediately.

• 

The fluid level in the 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 (allowing 

air entry) while changing injection caps, hold the connector below the level of the pa-

tient’s heart before removing the injection cap.

• 

Exceeding the maximum flow rate or the maximum pressure of power injectors of 325 

psi may result in catheter failure and/or catheter tip displacement. 

•  Power injector machine pressure limiting feature may not prevent over-pressurizations 

of an occluded catheter, which may cause catheter failure. 

•  PowerMidline™ Catheter indication for power injection of contrast media implies the 

catheter’s ability to withstand the procedure, but does not imply appropriateness of the 
procedure for a particular patient. A suitable trained clinician is responsible for evaluat-

ing the health status of a patient as it pertains to a power injection procedure. 

•  Failure to warm contrast media to body temperature prior to power injection may result 

in catheter failure.

•  Failure to ensure patency of the catheter prior to power injection studies may result in 

catheter failure.

•  Use of lumens not marked “Power Injectable” for power injection may result in catheter 

failure.

Placement Warnings

•  If the artery is entered, withdraw the needle and apply manual pressure for several 

minutes.

• 

Place a finger over the orifice of the sheath to minimize the blood loss and risk of air as

-

piration. The risk of air embolism is reduced by performing this part of the procedure with 
the patient performing the Valsalva maneuver until the catheter is inserted into the sheath.

•  (Pediatric) This is not a right atrium catheter. Avoid positioning the catheter tip in the 

right atrium. Placement or migration of the catheter tip into the right atrium may cause 
cardiac arrhythmia, myocardial erosion or cardiac tamponade. The risk of these compli-
cations may be more likely in neonatal patients.

•  Ensure that the stylet tip does not extend beyond the trimmed end of the catheter. Exten-

sion of the stylet tip beyond the catheter end may result in vessel damage, stylet damage, 

difficult removal, stylet tip separation, potential embolism and/or risk of patient injury.

Precautions

General Precautions

•  Sterilized using ethylene oxide. Do not re-sterilize.
•  Carefully read and follow all instructions prior to use. 

Summary of Contents for PowerMidline

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

Page 2: ...or past treatment will prevent proper device stabilization and or access Warnings General Warnings When using alcohol or alcohol containing antiseptics with polyurethane midlines care should be taken...

Page 3: ...dure for a particular patient A suitable trained clinician is responsible for evaluat ing the health status of a patient as it pertains to a power injection procedure Failure to warm contrast media to...

Page 4: ...the dose Do not infuse against resistance To reduce potential for blood backflow into the catheter tip always remove syringes slowly while injecting the last 0 5 mL of sterile saline Do not reinsert n...

Page 5: ...round any part of the catheter s tubing shaft or extension legs If using sutures to secure catheter USE THE SUTURE WINGS and make sure they do not occlude puncture or cut the catheter Do not use sciss...

Page 6: ...Erosion Through the Skin Catheter Embolism Catheter Occlusion Catheter Related Sepsis Exit Site Infection Exit Site Necrosis Extravasations Fibrin Sheath Formation Hematoma Heparin Induced Thrombocyto...

Page 7: ...lease tourniquet D Assess the selected vein to ensure the vessel size is adequate to accommodate the catheter being placed 2 Patient Position Catheter Measurement A Position the arm at a 90 angle B Fo...

Page 8: ...tylet assembly as one unit Caution Catheter stylet must be wetted prior to stylet repositioning or withdrawal D Retract the stylet to well behind the point the catheter is to be cut Caution Do not all...

Page 9: ...nit to prevent the needle from damaging or shearing the guidewire F Advance the small sheath and dilator together as a unit over the guidewire using a slight rotational motion If necessary a small inc...

Page 10: ...Stabilize the catheter position by applying pressure to the vein distal to the introducer sheath B Withdraw the introducer sheath from the vein and away from the site C Split the introducer sheath an...

Page 11: ...er to Instructions For Use on the proper use and removal The StatLock Stabilization Device should be monitored daily and replaced at least every seven days Caution The catheter must be secured in plac...

Page 12: ...be tween hub and wings Chevron anchor tape on top of transparent dressing Tape Strip Securement Procedure Single Lumen 1 Place 1st anchor tape over wings or bifurcation 2 Cover site and 1st anchor tap...

Page 13: ...emperature prior to power injec tion may result in catheter failure Warning Use of lumens not marked Power Injectable for power injection may result in catheter failure G Complete power injection stud...

Page 14: ...LLER THAN 10 mL TO FLUSH AND CONFIRM PATENCY Patency should be assessed with a 10 mL or larger syringe with sterile saline Upon confirmation of patency administration of medication should be given in...

Page 15: ...nd Toxic Reactions Adverse Events During Infusion Therapy Symposium University of California 1993 2 Findlay Steven R et al Hyperosmolar Triggering of Histamine Release from Human Basophils Journal of...

Page 16: ...daccess com Clinical Information 1 800 443 3385 USA Email medical services crbard com STERILIZE Manufacturer Do Not Re Use Non Pyrogenic Reorder Number Lot Number Do Not Re sterilize Length Use By Ste...

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