4
Warnings
• Intended for Single Patient Use. DO NOT REUSE. These products are
single use devices and should never be reimplanted. Reuse carries
with it the attendant concern of cross-infection regardless of the
cleaning or sterilization method. Resterilization of incompletely
cleaned devices may not be effective. Any device that has been
contaminated by blood should not be reused or resterilized.
• After use, this product may be a potential biohazard. Handle and
dispose in accordance with accepted medical practice and applicable
local, state and federal laws and regulations.
• Pinch-off Prevention: Catheters placed percutaneously or through a
cut-down, into the subclavian vein, should be inserted at the junction
of the outer and middle thirds of the clavicle, lateral to the thoracic
outlet. The catheter should not be inserted into the subclavian
vein medially, because such placement can lead to compression
of the catheter between the first rib and the clavicle, which can
cause damage and even severance of the catheter. A radiographic
confirmation of catheter placement should be made to ensure that
the catheter is not being pinched by the first rib and clavicle.
1,2
First Rib
Subclavian Vein
Clavicle
Vertebra
nternal Jugular Vein
Superior Vena Cava
Sternum
Pinch-off Area
nfraclavicular Fossa
Axillary Vein
Signs of Pinch-Off
Clinical:
• Difficulty with blood withdrawal.
• Resistance to infusion of fluids.
• Patient position changes required for infusion of fluids or blood
withdrawal.
