ARROW PRESSURE INJECTABLE PICC Expect more from your PICC EXPECT MORE FROM YOUR PICC DISTINCT LABELING pressure injection capabilities are marked on the extension line hubs with each lumen’s maximum flow rate FLEXIBLE LOW PROFILE JUNCTION HUB designed for patient comfort and easy of maintenance The arrow Pressure Injectable PICC was developed for ease-of-use, smooth insertion and patient comfort. Arrow PICC is the choice for those who simply demand more from their PICC. The arrow Pressure Injectable PICC is a polyurethane open ended catheter, indicated for short or long-term peripheral access to the central venous system for intravenous therapy, blood sampling, central venous pressure monitoring, infusions and power injection of contrast media. PRESSURE INJECTION CAPABILITY The maximum pressure of power injector equipment used with the Pressure Injectable PICC may not exceed 300 psi while the maximum flow rate of infusion is 4 ml/sec (single and double lumens PICC) and 6ml/sec (triple lumens PICC). The arrow Polyurethane ensures high resistance while maintaining softness and gentleness once into the vessel. TAPERFREE™ CATHETER DESIGN same French size between distal tip and the hub, reduces the risk of thrombosis2,3,4 CHOOSE THE RIGHT LENGTH, DO NOT TRIM THE TIP The arrow Pressure Injectable PICC is available in three different lengths (40, 50, 55 cm) thus eliminating the need to trim the line and avoiding to alter the integrity of the catheter itself. This means saving all the benefits related to the Blue Flex Tip and the Staggered Exit Ports. BLUE FLEX TIP ® & STAGGERED EXIT PORTS The contoured design is softer than the rest of the catheter, which allows for smooth maneuvering through narrow, tortuous vessels with less trauma. With this unique tip design, multilumen PICC’s have staggered ports. These ports are intended to reduce the risk of medications mixing and creating a precipitate that could potentially occlude the catheter1 . The Blue Flex Tip® is also designed to track better over wire. With the Blue Flex Tip, it is also the only PICC that can be inserted without a sheath in over-the-wire interventional insertions. It provides instant visual confirmation upon the removal. BLUE FLEX TIP® Unique to Arrow. Soft contoured tip design to enhance maneuverabilitywhile minimizing vessel trauma Blunt, ragged tip on conventional trimmable catheter poses risk of intimal trauma STAGGERED EXIT PORTS reduce the risk of mixing incompatible medications that can create precipitate1 The soft, contoured tip is designed to be easier to maneuver and minimize trauma DOUBLE NUMBERING simplifies documentation of catheter length PRODUCT & ORDERING INFORMATION PRESSURE INJECTABLE PICC Lumen 1 1 1 2 2 2 3 3 3 outer ø (Fr) Inner Ø* (Gauge) LengtH (Cm) Max Flow Rate* (mL/sec) Flow Rate* (mL/hr) Ref. Kit Configuration EU-24041-HPMSB Max Barrier Nursing qty EU-04041-HP Basic Nursing EU-04041-IR Interventional Radiology 10 EU-25041-HPMSB Max Barrier Nursing 5 EU-05041-HP Basic Nursing EU-05041-IR Interventional Radiology 10 EU-25541-HPMSB Max Barrier Nursing 5 EU-05541-HP Basic Nursing EU-05541-IR Interventional Radiology EU-24052-HPMSB Max Barrier Nursing 5 4 18 4 40 18 4 4 50 18 1020 4 55 10 720 4 10 660 10 10 5 5 18/18 4/4 EU-04052-HP Basic Nursing EU-04052-IR Interventional Radiology 10 EU-25052-HPMSB Max Barrier Nursing 5 EU-05052-HP Basic Nursing EU-05052-IR Interventional Radiology EU-25552-HPMSB Max Barrier Nursing EU-05552-HP Basic Nursing EU-05552-IR Interventional Radiology EU-24063-HPMSB Max Barrier Nursing EU-04063-HP Basic Nursing EU-25063-HPMSB Max Barrier Nursing EU-05063-HP Basic Nursing EU-25563-HPMSB Max Barrier Nursing EU-05563-HP Basic Nursing 5 40 18/18 50 630/720 4/4 10 540/600 10 10 5 5 18/18 4/4 55 480/540 10 10 6 17/19/19 40 6/NoCT/NoCT 1650/550/550 6 17/19/19 50 6/NoCT/NoCT 1320/480/450 6 17/19/19 55 6/NoCT/NoCT 1070/390/360 5 10 5 10 5 10 *Distal/Proximal/Medial Gauze Pad 5cmx5cm Gauze Pad 10 cm x 10 cm Ultrasound Sterile Probe Cover • • Measuring tape • Tape • Tourniquet • Transparent Dressing • Sutureless Fixation Device • Hemo-Hopper Fluid Receptacle • Towel • Absorbent Towel • Cap • Mask with Eyeshield • Mask • Surgical gown • Fenestrated drape • Full Body drape 3 ml Syringe • Needle Free Connectors 10 ml Syringe • Catheter trimmer, Safety 22Ga Hypodermic Needle, Safety • Sharps Away Locking Disposal Cup 25 Ga Hypodermic Needle, Safety • Filter Needle Scalpel, Safety 0.018 in x 130 Cm Stainless Steel Guidewire 0.018 in x 45 Cm Nitinol Guidewire Interventional Radiology Kit Echogenic Introducer Needle 21Gax7Cm Basic Nursing Kit GlideThru™ Microintroducer Maximal Barrier Nursing Kit Arrow Pressure Injectable PICC Kit configuration KIT COMPONENTS • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • SAME SIZE FROM TIP TO HUB Our attention to detail and focus on safety extends over the entire length of the catheter. arrow PICCs are taper-free as we strive to make procedures complication-free. The arrow TaperFree™ catheter design assures the clinician stated size is consistent between the distal and proximal ends. Long tapered catheter bodies can be up to two French sizes larger than what’s actually labeled5. This presents you with a catheter to vessel ratio that increases the risk of thrombosis 2,3,4. 5Fr RISK OF THROMBOSISRISES AS FRENCH SIZE INCREASES 2 10% 9.8% RISK OF THROMBOSIS 8% 6.6% 6% 4% 2% 1% 0% 4 Fr. 5 Fr. SIZE OF CATHETER 1 2 3 4 5 6 Fr. 5Fr REVERSE FREE DESIGN According to a study published in the Journal of Vascular and Interventional Radiology, the risk of thrombosis rises as French size increases3 (see chart). To minimize this risk, the authors recommend using the smallest acceptable catheter required for the therapy. With a tapered catheter body there can be a considerable difference between the French size at the tip and the French size at the proximal end. This type of design puts the widest portion of the catheter into the narrowest portion of the vein. For the sake of their patients, clinicians need to know that the French size of their PICC does not vary. With Arrow PICCs you can depend on it. In fact, a study evaluating outcomes associated with a 6 French reverse tapered triple lumen PICC, was stopped prematurely due to unacceptably high venous thrombosis rate4. Collins JL, Lutz RJ. In Vitro Study of Simultaneous Infusion of Incompatible Drugs in Multilumen Catheter. Heart & Lungs. 1991; 20(3):271-7 Nifong, T., McDevitt, T. The Effect on Catheter to Vein Ratio on Blood Flow Rates in a Sumulated Model of Peripherally Inserted Central Venous Grove JR, Pevec WC. “Venous Thrombosis Related to Peripherally Inserted Central Catheters.” Journal of Vascular and Interventional Radiology. 2000; 11: 837-840. Trerotola, S., Stravropoulos, S., Mondeschein, J., Patel, A., Fishman, N., Fuchs, B., Kolansky, D., Kasner, S., Pryor, J., Chittams, J. Triple-Lumen Peripherally Inserted Central Catheter in Patients in the Critical Care Unit: Prospective Evaluation. Radiology. 2010; 256 (1.2).) Data on file Teleflex is a leading global provider of specialty medical devices used for diagnostic and therapeutic procedures in critical care, urology and surgery. Our mission is to provide solutions that enable healthcare providers to improve outcomes and enhance patient and provider safety. We specialise in devices for general and regional anaesthesia, cardiac care, respiratory care, urology, vascular access and surgery and we serve healthcare providers in more than 150 countries. Teleflex also provides specialty products for medical device manufacturers. Our well known brands include arrow ®, deKnatel®, gibecK®, hudson rci®, KMedic ®, lMa™, Pilling®, Pleur-evac ®, rÜsch®, sheridan®, taut ®, tfx oeM®, vasonova™, vidacare ® and wecK®, all of which are trademarks or registered trademarks of Teleflex Incorporated. Teleflex global operations: Australia, Austria, Belgium, Canada, China, Czech Republic, France, Germany, Greece, India, Ireland, Italy, Japan, Malaysia, Mexico, Netherlands, New Zealand, Portugal, Singapore, Slovak Republic, South Africa, Spain, Switzerland, United Kingdom, Uruguay and USA. YOUR INTERNATIONAL CONTACTS: TELEFLEX HEADQUARTERS INTERNATIONAL, IRELAND Teleflex Medical Europe Ltd., IDA Business and Technology Park, Dublin Road, Athlone, Co Westmeath Phone +353 (0)9 06 46 08 00 · Fax +353 (0)14 37 07 73 orders.intl@teleflex.com AUSTRALIA/NEW ZEALAND +61 (0)3 9081 0600 AUSTRIA +43 (0)1 402 47 72 BELGIUM +32 (0)2 333 24 60 CHINA (SHANGHAI) +86 (0)21 6163 0965 CHINA (BEIJING) +86 (0)10 6418 5699 CZECH REPUBLIC +420 (0)495 759 111 FRANCE +33 (0)5 62 18 79 40 GERMANY +49 (0)7151 406 0 GREECE +30 210 67 77 717 INDIA +91 (0)44-2836 5040 ITALY +39 0362 58 911 JAPAN +81 (0)3 3379 1511 NETHERLANDS +31 (0)88 00 215 00 PORTUGAL +351 22 541 90 85 SINGAPORE +65 6439 3000 SLOVAK REPUBLIC +421 (0)3377 254 28 SOUTH AFRICA +27 (0)11 807 4887 SPAIN +34 918 300 451 SWITZERLAND +41 (0)31 818 40 90 UNITED KINGDOM +44 (0)1494 53 27 61 For detailed information see www.teleflex.com The products in this catalogue may not be available in all countries. Please contact your local representative. All data current at time of printing (10/2014). Subject to technical changes without further notice. 94 11 10 - 00 00 01 · REV A · MC / WM · 10 14 01.5
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