2
7. Reposition thumb clamp, sliding clamp partially
over bifurcation as shown in Figure 2 and
close clamp on extension tubing.
WARNING:
Failure to clamp could lead to air embolism or
blood loss. (Step B)
Figure 2
Temporary Use Only
Step B
8. Remove green slide clamp.
WARNING: The
green slide clamp is provided for use dur-
ing the repair procedure only. DO NOT
REUSE the green slide clamp. Dispose of
the green slide clamp following the repair pro‑
cedure.
9.
Remove the extension leg replacement
connector and collar from the package.
Note: Both components must be utilized
to complete repairs.
Connector Collar
10. Assemble the provided connector to the exten‑
sion leg, as follows:
• Slide collar over the extension tubing such
that the taper faces the catheter bifurcation.
(Step C)
Step C
• Push barbed end of the connector into the
extension tubing. Position end of tubing 1 to
2 mm from connector threads. (Step D)
Step D
• Slide the collar toward the threads on the
extension leg connector, and rotate it to
engage the threads. (Step E)
Step E
Gap 1-2 mm
• Continue to thread the collar onto the
connector until the positive stop is reached
and there is no gap between the collar and
connector. (Step F)
11. Grasping the connector in one hand, and the
proximal extension tubing in the other, gently
tug on the joint to test the security of the con‑
nector. If the connector pulls out of tubing,
repeat the repair procedure. A connection
failure may be due to one, or a combination of,
the following:
• The extension leg connector is not fully
inserted into the extension tubing.
• The extension tubing is damaged,
preventing a secure connection. If the failure
is due to damaged tubing, then the catheter
may need to be removed and replaced.
CAUTION: Be sure to pull on the extension
tubing and the connector only and not on
the catheter In Situ.
12. Attach connector cap.
13. Use a sterile 10 mL luer lock syringe to aspirate
any air introduced during the repair of the
extension legs.
Priming Volume
• Priming volume calculation procedure.
Follow these steps:
• Note original priming volume on extension
leg being repaired.
• Measure length of extension leg that has
been removed (not including the connector)
• For each cm of extension tubing removed,
subtract 0.05 mL, i.e.: 2 cm removed times
0.05 mL = 0.1 mL. Subtract this number
(0.1 mL) from original priming volume.
• Note total. Now subtract 0.1 mL from this
total (old connector hub priming volume
for revised priming volume of repaired
extension leg).
• Calculate final reduction in priming volume
(example 0.2 mL)
1. Priming volume on
extension tube
2. Subtract 0.05 for each cm
of tubing removed
‑ 0.05
x
=
3. Subtract 0.1 for difference
in luer priming volume
4. Record this number on the
heparin label
‑ 0.1
Worksheet for Priming Volumes
mL
mL
mL
mL
• If the catheter is not used immediately, inject
1,000‑ 5,000 units of heparin per mL of saline
into each lumen in amounts equal to the revised
priming volume of each repaired lumen. Should
any fluid leak be noted, the catheter may need
to be removed and replaced.
WARNING: Do
not use heparin in patients with heparin
allergy. CAUTION: The priming volume of
the repaired lumen will decrease by 0.1 mL
for original connector hub and 0.05 mL for
every additional cm of extension tube removed.
• Document new priming volume on sticker
provided in kit and attach to patient chart
or provide to patient.
• At this time, the catheter may be used as before.
References
1 Centers for Disease Control and Prevention,
“Guidelines for the Prevention of Intravascular
Catheter‑Related Infections.” Morbidity and
Mortality Weekly Report, Aug. 9, 2002, 51 (RR‑
10), 1‑32.
2 Centers for Disease Control and Prevention,
“Guideline for Hand Hygiene in Health‑Care
Settings.” Morbidity and Mortality Weekly Report,
Oct. 25, 2002, 51 (RR‑16), 1‑56.
3 National Kidney Foundation. “KDOQI Clinical
Practice Guidelines and Clinical Practice
Recommendations for 2006 Updates:
Hemodialysis Adequacy, Peritoneal Dialysis
Adequacy and Vascular Access.” Am J Kidney
Dis 48:S1‑S322, 2006 (suppl 1).
Bard Access Systems, Inc. warrants to the original
purchaser that this product will be free from defects in
material and workmanship for a period of one (1) year
from the date of purchase. If this product proves to be
so defective, purchaser may return same to Bard Access
Systems, Inc. for repair or replacement, at Bard Access
Systems, Inc.’s option. All returns must be authorized
in advance in accordance with Bard Access Systems,
Inc.’s Returned Goods Policy found in its then current
Price List. The liability of Bard Access Systems, Inc. under
this limited product warranty does not extend to any
abuse or misuse of this product or its repair by anyone
other than an authorized Bard Access Systems, Inc.
representative.
THIS LIMITED PRODUCT WARRANTY IS IN LIEU OF
ALL OTHER WARRANTIES, EXPRESS OR IMPLIED
(INCLUDING, WITHOUT LIMITATION ANY WARRANTY
OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE). THE LIABILITY AND REMEDY STATED IN
THIS LIMITED PRODUCT WARRANTY WILL BE THE
SOLE LIABILITY OF BARD ACCESS SYSTEMS, INC. AND
REMEDY AVAILABLE TO PURCHASER FOR THIS PRODUCT,
WHETHER IN CONTRACT, TORT (INCLUDING NEGLIGENCE)
OR OTHERWISE, AND BARD ACCESS SYSTEMS, INC. WILL
NOT BE LIABLE TO PURCHASERS FOR ANY INDIRECT,
SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES
ARISING OUT OF ITS HANDLING OR USE.
Some states/countries do not allow an exclusion
of implied warranties, incidental or consequential
damages. You may be entitled to additional remedies
under the laws of your state/country.
An issued or revision date for these instructions is
included for the user’s information. In the event two
years have elapsed between this date and product
use, the user should contact Bard Access Systems,
Inc. to see if additional product information is avail‑
able. Revision date: December
2014.
Bard, Decathlon DF, Equistream, Equistream XK,
Flexxicon, Flexxicon II, Glidepath, HemoGlide,
HemoSplit, HemoSplit XK, HemoStar, HemoStar
XK, Niagara, Niagara Slim‑Cath, Reliance XK, Soft‑
Cell and Vas‑Cath are trademarks and/or registered
trademarks of C. R. Bard, Inc.
All other trademarks
are the property of their respective owners.
© 2014 C. R. Bard, Inc. All rights reserved.
®
Step F
English
Summary of Contents for vas-cath
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