Bard Access Systems
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Bard Access Systems
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C a u t i o n s :
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Carefully read and follow all instructions prior to use.
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Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
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Only qualified healthcare practitioners should insert, manipulate, and remove this
catheter.
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The Poly RadPICC
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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.
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For those unfamiliar with the procedure, published studies and a video are avail-
able from Bard Access Systems depicting insertion and maintenance techniques.
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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 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).
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When trimming the catheter, do not cut the stylet.
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Do not advance the guidewire past the axilla without fluoroscopic guidance.
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The catheter must be secured in place to minimize the risk of catheter breakage
and embolization.
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For further information or questions, please call 800-443-3385 or
801-595-0700.
P r e c a u t i o n s :
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Only medical practitioners licensed by law, trained and experienced in proper posi-
tioning of catheters in the central venous system using percutaneous entry
(Seldinger technique) should place this catheter.
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Follow Universal Precautions when inserting and maintaining the catheter.
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Follow all contraindications, warnings, cautions, precautions, and instructions for all
infusates as specified by its manufacturer.
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Use aseptic techniques whenever the catheter lumen is opened or connected to
other devices.
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Precautions are intended to help avoid catheter damage and/or patient injury.
I.
Prior to placement:
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Examine the package carefully before opening to confirm its integrity and that the
expiration date has not passed. The catheter is supplied in a sterile package 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.
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Inspect kit for presence of all components.
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Flush the stylet with sterile normal saline or heparinized saline to wet the stylet
prior to use, repositioning or withdrawal.
II. During placement:
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Do not allow device contact with sharp instruments. Mechanical damage may
occur. Use only smooth edged, atraumatic clamps or forceps.
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Do not perforate, tear, or fracture the catheter when using a stylet.
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Do not use the catheter if there is any evidence of mechanical damage or leaking.
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Avoid placement or securement of the catheter where kinking may occur, to mini-
mize stress on the catheter, patency problems or patient discomfort.
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Do not bend the catheter at sharp angles during implantation as this can compro-
mise patency of the catheter.
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Do not place suture around the catheter. Sutures may damage the catheter or
compromise catheter patency.
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Do not cut the stylet.
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Do not advance the guidewire into superior vena cava except under x-ray or fluo-
roscopy. Assure proper tip position in order to prevent erosion or perforation of cen-
tral venous system.
III.
After placement:
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WARNING: Do not use the device if there is any evidence of mechanical damage
or leaking. Damage to the catheter may lead to rupture, fragmentation, possible
embolism, and surgical removal.
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Accessories and components with Luer Lock connections should be used with this
device.
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WARNING: If signs of extravasation exist, discontinue injections. Begin appropriate
medical intervention immediately.
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DO NOT USE A SYRINGE SMALLER THAN 10ml! Infusion pressure greater than
25psi may damage blood vessels or viscus.
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Tip position should be verified by x-ray and monitored on a routine basis.
