I n d i c a t i o n s
The
PowerPICC* SV
catheter is indicated for short or long-term peripheral access to the central venous system for intravenous
therapy, blood sampling, power injection of contrast media, and allows for central venous pressure monitoring. For central venous
pressure monitoring, it is recommended that a catheter lumen of 20 gauge or larger be used.
Catheter Size
Maximum Flow Rate
3 F Single Lumen
1 mL/sec
4 F Dual Lumen
2.5 mL/sec
C o n t r a i n d i c a t i o n s , Wa r n i n g s a n d P r e c a u t i o n s :
The device is contraindicated whenever:
•
The presence of device related infection, bacteremia, or septicemia is known or suspected.
•
The patient’s body size is insufficient to accommodate the size of the implanted device.
•
The patient is known or is suspected to be allergic to materials contained in the device.
•
There has been past irradiation of prospective insertion site.
•
There have been previous episodes of venous thrombosis or vascular surgical procedures at the prospective placement site.
•
There are local tissue factors that may prevent proper device stabilization and/or access.
Wa r n i n g s :
• 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.
•
Alcohol should not be used to lock, soak or declot polyurethane catheters because alcohol is known to degrade polyurethane
catheters over time with repeated and prolonged exposure.
•
Acetone and polyethylene glycol containing ointments should not be used with polyurethane catheters, as these may cause
failure of the device.
• 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.
•
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 or design characteristics of the device, which may lead to device
failure, and/or lead to injury, illness or death of the patient.
•
After use, this product may be a potential biohazard. Handle and discard in accordance with accepted medical practice and
applicable local, state and federal laws and regulations.
•
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 of contrast media may cause failure of the catheter.
• Power injector machine pressure limiting feature may not prevent over-pressurization of an occluded catheter, which may lead
to catheter failure.
•
Exceeding the maximum power injection flow rate or setting the maximum power injector pressure limit above 300 psi, may
result in catheter failure and/or catheter tip displacement.
•
PowerPICC* SV
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 suitably trained clinician is
responsible for evaluating the health status of a patient as it pertains to a power injection procedure.
•
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 blood loss and risk of air aspiration. The risk of air embolism is reduced
by performing this part of the procedure with the patient performing the Valsalva maneuver until the guidewire is inserted into
the needle.
•
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 intervention 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 patient’s heart before removing the injection cap.
•
Central venous pressure monitoring should always be used in conjunction with other patient assessment metrics when
evaluating cardiac function.
• Failure to warm contrast media to body temperature prior to power injection may result in catheter failure.
• Do not wipe the catheter with acetone base solutions, or ointment. These can damage the polyurethane material if used over
time.
P r e c a u t i o n s :
•
Only medical practitioners licensed by law, trained and experienced in proper positioning of catheters in the central venous
system using percutaneous entry (Seldinger technique) should place this catheter.
• Follow Universal Precautions when inserting and maintaining the catheter.
•
Follow all contraindications, warnings, cautions, precautions and instructions for all infusates, including contrast media, as
specified by their manufacturer.
