catheter and stylet together approximately 2 cm and reattempt stylet
removal. Repeat this procedure until the stylet is easily removed. Once the
stylet is out, advance the catheter into the desired position (zero mark).
•
To minimize the risk of catheter breakage and embolization, the catheter
must be secured in place.
•
Do not cut stylet.
•
For those unfamiliar with the procedure, published studies and a video are
available from Bard Access Systems depicting insertion and maintenance
techniques.
•
For further information or questions, please call 800-443-3385 or
801-595-0700.
Precautions:
•
Follow Universal Precautions when inserting and maintaining the catheter.
•
Follow all contraindications, warnings, cautions, precautions and instructions
for all infusates as specified by their manufacturer.
•
Use aseptic techniques whenever the catheter lumen is opened or connect-
ed to other devices.
•
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 (and thus air entry) while changing injection caps, hold
the connector below the level of the patient’s heart before removing the
injection cap.
•
Examine the package carefully before opening to confirm its integrity and that
the expiration date has not passed. The device is supplied in a sterile pack-
age and is non-pyrogenic. Do not use if package is damaged, opened or the
expiration date has passed. Sterilized by ethylene oxide. Do not resterilize.
•
Inspect kit for inclusion of all components.
•
Flush the catheter with sterile normal saline or heparinized saline prior to use.
Catheter stylet must be wetted prior to stylet repositioning or withdrawal.
•
Avoid accidental device contact with sharp instruments and mechanical dam-
age to the catheter material. Use only smooth-edged atraumatic clamps or for-
ceps.
•
Avoid perforating, tearing, or fracturing the catheter when using a stylet.
•
Do not use the catheter if there is any evidence of mechanical damage or
leaking.
II. To avert device damage and/or patient injury during placement.
I. Prior to beginning placement procedure, do the following:
Warnings:
•
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. Chlordexidine gluconate and/or povidone iodine are the suggested
antiseptics to use.
•
Alcohol should not be used to soak or declot polyurethane PICCs 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 Patient Use. DO NOT REUSE. Bard Access Systems
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 discard in
accordance with accepted medical practice and applicable local, state and
federal laws and regulations.
Cautions:
•
Carefully read and follow all instructions prior to use.
•
Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
•
Only qualified healthcare practitioners should insert, manipulate and remove
these devices.
•
The Poly Per-Q-Cath
*
catheter features a reverse-taper catheter design.
Placement of larger catheters at or below antecubital fossa may result in an
increased incidence of phlebitis. Placement of PICC above antecubital fossa
is recommended.
•
Never use force to remove the stylet. Resistance can damage the catheter.
If resistance or bunching of the catheter is observed, stop stylet withdrawal
and allow the catheter to return to normal shape. Withdraw both the
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