6
A
B
C
OD
(Fr)
OD
at Zero
(Fr)
Taper
Length
(cm)
PowerPICC SOLO
2 ®
Catheter
4
6
7
5
7
7
6
8
7
6
7
5
PowerPICC SOLO
2 ®
FT Catheter
/
PowerPICC SOLO
2 ®
HF Catheter
5
7
4
X
X
X
Short Taper >
B
C
A
B. Complete catheter advancement into the desired position.
Note: Maximum recommended insertion is to the zero mark on the catheter shaft.
Note: PICCs should be positioned with the catheter tip in the lower 1/3 of the SVC. Verify
correct catheter tip position using radiography or other appropriate technology.
WARNING: 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
complications may be more likely in neonatal patients.
C. Stabilize the catheter position by applying light pressure to the vein distal to the insertion site. Slowly remove the stylet,
if applicable.
Caution: Never leave stylet or stiffening wire in place after catheter insertion; injury may occur. Remove stylet or
stiffening wire and T-lock (as applicable) after insertion.
D. Place a finger over the catheter opening to minimize blood loss.
13. Aspirate and Flush
A. Attach primed extension set and/or saline-filled syringe.
B. Aspirate for adequate blood return and flush catheter with 10 mL normal saline to ensure patency.
Caution: The PowerPICC SOLO
2
® catheter is designed for use with needleless injection caps or “direct-to-hub” connection
technique. Apply a sterile end cap on the catheter hub to prevent contamination when not in use. Use of a needle longer
than 1.6 cm may cause damage to the valve.
Caution: To reduce potential for blood backflow into the catheter tip, always remove needles or syringes slowly while
injecting the last 0.5 mL of saline.
Caution: As reported in literature, anaphylactic or anaphylactic-like reactions occur in a small percentage of the population
during placement
1
, positioning
1
, flushing
2
of central venous catheters or cleaning of catheter exit site
3
. These reactions are
reported in association with insertion, rapid flushing, or manipulation of the catheter and/or use of chlorhexidine gluconate
(CHG) in some patients. Be aware of the potential symptoms or signs of these reactions and take precautionary steps as
dictated by institution protocol for their prevention or treatment.
C. Cap catheter.
WARNING: 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 patient’s heart before removing the injection cap.
14. Dress Catheter
Caution: Do not suture through or around 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.
Caution: The catheter must be secured in place to minimize risk of catheter breakage and embolization.
WARNING: When using alcohol or alcohol-containing antiseptics with polyurethane PICCs, care should be taken to avoid
prolonged or excessive contact. Solutions should be allowed to completely dry before applying an occlusive dressing.
Chlorhexidine gluconate and/or povidone iodine are the suggested antiseptics to use.
WARNING: Alcohol should not be used to lock, soak or declot polyurethane PICCs because alcohol is known to degrade
polyurethane catheters over time with repeated and prolonged exposure.
WARNING: Do not wipe the catheter with acetone-based solutions, tincture of iodine or polyethylene glycol-containing
ointments. These can damage the polyurethane material if used over time.
The StatLock® catheter stabilization device is included in PowerPICC SOLO
2
® catheter kits. Please refer to Instructions For Use on the
proper use and removal. The StatLock® catheter stabilization device should be monitored daily and replaced at least every seven
days.
Zero mark
