1. Manuals
  2. Brands
  3. MedComp Manuals
  4. Medical Equipment
  5. SPLIT-STREAM
  6. Instructions for use manual

MedComp SPLIT-STREAM Instructions For Use Manual

Long-term hemodialysis
Hide thumbs Also See for SPLIT-STREAM:
Table of Contents

Advertisement

Quick Links

See also: Instructions for Use Manual
SPLIT-STREAM®
LONG-TERM HEMODIALYSIS
INSTRUCTIONS FOR USE

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the SPLIT-STREAM and is the answer not in the manual?

Questions and answers

Related Manuals for MedComp SPLIT-STREAM

Summary of Contents for MedComp SPLIT-STREAM

  • Page 1 SPLIT-STREAM® LONG-TERM HEMODIALYSIS INSTRUCTIONS FOR USE...
  • Page 2 This catheter is intended for Long-Term vascular access only and • should NOT be used for any purpose other than indicated in these instructions. To maintain peak performance of the Split-Stream extension set, it • ® is recommended that the extension set be replaced every 6 months.

  • Page 3: Potential Complications

    • Venous Stenosis Before attempting the insertion, ensure that you are familiar with • the potential complications and their emergency treatment should any of them occur. CAUTIONS: Use only Medcomp Split-Stream extension sets with this • ® ® catheter. Catheter will be damaged if clamps other than what is provided with •...
  • Page 4 Internal Jugular Vein Have patient lift his/her head from the bed to define the • sternomastoid muscle. Catheterization will be performed at the apex of a triangle formed between the two heads of the sternomastoid muscle. The apex should be approximately three finger breadths above the clavicle.
  • Page 5 To achieve proper tip placement, proper catheter length selection is important. Routine x-ray should always follow the initial insertion of this catheter to confirm proper placement prior to use. INSTALLATION OF Split-Stream EXTENSION SET: ® Caution: Use only Medcomp...
  • Page 6 Caution: Arterial extension is to be attached to lumen with red printing and the venous extension is to be attached to the lumen with blue printing. Take apart female adapter by twisting parts (A) and (C) apart. The compression ring (B) should be found in part (A). Warning: Do NOT attempt to separate the extension from the adapter.
  • Page 7 Warning: Splitting the lumens beyond this point may result in excess tunnel bleeding, infection, or damage to the catheter lumens. Note: A tunnel with a wide gentle arc lessens the risk of kinking. The tunnel should be short enough to keep the extension set of the catheter from entering the exit site, yet long enough to keep the cuff 2cm (minimum) from the skin opening.
  • Page 8 34. To prevent catheter migration, use StatLock for catheter ® securement. Clean the area where the Split-Stream extension ® set will lie on the patient with alcohol. Push the collar section of the Split-Stream extension set into the receiving grooves of the ®...
  • Page 9 37. Record catheter length and catheter lot number on patient’s chart. HEMODIALYSIS TREATMENT The heparin solution must be removed from each lumen prior to • treatment to prevent systemic heparinization of the patient. Aspiration should be based on dialysis unit protocol. Before dialysis begins all connections to catheter and •...

  • Page 10: Catheter Removal

    CATHETER PERFORMANCE Caution: Always review hospital or unit protocol, potential complications and their treatment, warnings, and precautions prior to undertaking any type of mechanical or chemical intervention in response to catheter performance problems. Warning: Only a physician familiar with the appropriate techniques should attempt the following procedures.
  • Page 11 OF THIS PRODUCT SHOULD BE IN ACCORDANCE WITH THE INSTRUCTIONS PROVIDED AND AS DIRECTED BY THE PRESCRIBING PHYSICIAN. Because of continuing product improvement, prices, specifications, and model availability are subject to change without notice. Medcomp reserves the right ® to modify its products or contents without notice.

  • Page 12: Indications For Use

    This catheter is intended for Long-Term vascular access only and • should NOT be used for any purpose other than indicated in these instructions. To maintain peak performance of the Split-Stream extension set, it • ® is recommended that the extension set be replaced every 6 months.
  • Page 13 Venous Stenosis • Before attempting the insertion, ensure that you are familiar with the potential complications and their emergency treatment should any of them occur. CAUTIONS: • Use only Medcomp Split-Stream extension sets with this ® ® catheter. • Catheter will be damaged if clamps other than what is provided with this kit are used.
  • Page 14 Internal Jugular Vein • Have patient lift his/her head from the bed to define the sternomastoid muscle. Catheterization will be performed at the apex of a triangle formed between the two heads of the sternomastoid muscle. The apex should be approximately three finger breadths above the clavicle.
  • Page 15 Femoral Vein • The patient should lie completely on his/her back. Both femoral arteries should be palpated for site selection and consequence assessment. The knee on the same side of the insertion site should be flexed and the thigh abducted. Place the foot across the opposite leg.
  • Page 16 Attach temporary lumen clamp between extensions and reference line (dots) as shown in picture. Locate lumen in this area only. Remove syringe. INSERTION: Insert the introducer needle with attached syringe, or into the target vein. Aspriate to insure proper placement. Remove the syringe, and place thumb over the end of the needle to prevent blood loss or air embolism.
  • Page 17 2cm (minimum) from the skin opening. 26. Reattach temporary lumen clamp in same location as previously noted in #6. INSTALLATION OF Split-Stream EXTENSION SET: ® 27. Remove tunneling adaptor by cutting catheter lumen squarely at the designated priming volume lines, and in such a manner that produces a clean, smooth surface.
  • Page 18 (C) and twist adapter together firmly. A gentle tug will assure proper assembly. Caution: Assembly threads MUST be fully engaged. 33. Attach syringes on both Split-Stream extension sets, and open ® clamps. Remove the temporary lumen clamp from the catheter.
  • Page 19 38. To prevent catheter migration, use StatLock for catheter ® securement. Clean the area where the Split-Stream extension ® set will lie on the patient with alcohol. Push the collar section of the Split-Stream extension set into the receiving grooves of the ®...
  • Page 20 Open extension clamps and white secondary clamps. Aspirate to insure that no air will be forced into the patient. Inject heparin into each lumen using quick bolus technique. Note: Each lumen should be completely filled with heparin to ensure effectiveness. Close extension clamps and white secondary clamps.
  • Page 21 • Sterile technique should always be strictly adhered to. • Clinically recognized infection at a catheter exit site should be treated promptly with the appropriate antibiotic therapy. • If a fever occurs in a patient with a catheter in place, take a minimum of two blood cultures from a site distant from catheter exit site.

  • Page 22: Warranty

    OF THIS PRODUCT SHOULD BE IN ACCORDANCE WITH THE INSTRUCTIONS PROVIDED AND AS DIRECTED BY THE PRESCRIBING PHYSICIAN. Because of continuing product improvement, prices, specifications, and model availability are subject to change without notice. Medcomp reserves the right ® to modify its products or contents without notice.

  • Page 23: Symbol Table

    SYMBOL TABLE 5.1.1 Manufacturer 5.3.4 Keep Dry 5.6.3 Non-pyrogenic 5.3.2 Keep Away from Sunlight 5.2.3 Sterilized Using Ethylene Oxide Do Not Use if Package is 5.2.8 Damaged 5.1.4 Use-by Date 5.2.6 Do Not Resterilize 5.1.5 Batch/Lot Number 5.1.6 Catalogue Number Caution, consult Accompanying 5.4.4 Documents...

Table of Contents