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Arrow CVC Product Manual page 8

Venous access critical care
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Accessory Component Instructions
Review the list of components that will be utilized before
beginning the Arrow® CVC insertion procedure. Kits / Sets
may not contain all accessory components detailed in this
section. Become familiar with instructions for individual
component(s) before beginning the actual insertion
procedure.
Arrow Advancer™:
Arrow Advancer™ is used to straighten “J” Tip of Spring-Wire Guide (SWG) for
introduction of guidewire into Arrow® Raulerson Syringe or a needle.
Using thumb, straighten the “J” by retracting SWG into Arrow
Advancer™ (refer to Figures 2 and 3).
Figure 2
Figure 3
When tip is straightened, SWG is ready for insertion. Centimeter
marks on SWG are referenced from “J” Tip: one band indicates
10 cm, two bands 20 cm, and three bands 32 cm.
Place tip of Arrow Advancer™ – with “J” retracted – into the hole
in rear of Arrow® Raulerson Syringe plunger (refer to Figure 4)
or introducer needle.
Figure 4
Advance SWG into Arrow® Raulerson Syringe approximately
10 cm until it passes through syringe valves (refer to Figure 5) or
into introducer needle.
Figure 5
Raise thumb and pull Arrow Advancer™ approximately 4 - 8 cm
away from Arrow® Raulerson Syringe or introducer needle.
Lower thumb onto Arrow Advancer™ and while maintaining a
firm grip on SWG, push assembly into syringe barrel to further
advance SWG. Continue until SWG reaches desired depth (refer
to Figure 6).
Figure 6

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