VASCULAR ACCESS – ADULT EX P ERT ISE IN C RIT IC A L C A RE EXPERTISE IN CRITICAL CARE EDITORIAL VASCULAR ACCESS – ADULT Editorial For over 35 years, we have been focusing our research on doctor’s needs and have designed in France innovating devices meeting the most stringent criteria. We work in close collaboration with the finest specialists in the industry to provide the solutions best suited to the management of patients. We are proud of our certificates guaranteeing the excellence of our products, based on the use of selected raw materials and products complying with optimised and validated manufacturing procedures. Prodimed is ISO 9001 and ISO 13485 certified. Our devices are manufactured in France. See our latest news on www.prodimed.com www.plastimed.fr Plastimed®, Seldiflex®, Seldicath®, Hasselcath®, Endocath®, Endoflex®, Microdard®, Desil-intro® are registered trademarks of Prodimed SAS. 2 EXPERTISE IN CRITICAL CARE TABLE OF CONTENTS VASCULAR ACCESS – ADULT Table of Contents Vascular Access Adult P.04 Meaning of pictograms P.05 Chapter 1 I CENTRAL VENOUS P.06 P.17 P.21 P.23 Central venous catheters (Seldinger technique) Central venous catheters for tunnelisation (Seldinger technique) Peripheral venous catheters for central access Central venous catheters P.25 Chapter 2 I ARTERIAL (SELDINGER TECHNIQUE) P.28 Chapter 3 I EMERGENCY AND HEMODIALYSIS P.33 Chapter 4 I ACCESSORIES P.34 P.38 P.41 P.43 P.45 P.46 Introducers and needles Infusion filters Repair kits Monitoring Hubs and caps Other accessories P.48 P.49 Measuring unit conversion tables Index of references 3 EXPERTISE IN CRITICAL CARE GLOSSARY VASCULAR ACCESS – ADULT Meaning of pictograms Conditioning Technical security Blister pack Radio-opaque Peel pack xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx Latex free Traceability labels 2 Double pack Single use Color codes for multi-lumen models: Manufacturing Materials Polyurethane Polyvinyl chloride Polytetrafluoroethylene Fluorinated ethylene-propylene BLUE – DISTAL YELLOW – PROXIMAL GREEN – MEDIAL 1 WHITE – MEDIAL 2 Polyethylene All products of the Plastimed range are phthalate-free. For further information on the indications, contraindications and precautions, please refer to the specific instructions for use supplied with the products. 4 EXPERTISE IN CRITICAL CARE Chapter 1 CENTRAL VENOUS 5 EXPERTISE IN CRITICAL CARE Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT Central venous catheters (Seldinger technique) Single lumen catheters for central venous access are used for: • Administering drugs • Central venous pressure monitoring • Blood volume expansion • Parenteral nutrition Multiple lumen catheters for central venous access (subclavian, jugular or femoral) simplify multiline infusions and avoid “bolus effects”. They are used in the following situations: • Simultaneous administration of incompatible drugs • Administration of amines • Administration of antibiotics • Central venous pressure monitoring • Transfusion • Parenteral nutrition • Infusion of hyperosmolar solutions (> 700 mOsm) 6 EXPERTISE IN CRITICAL CARE CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT SINGLE LUMEN SELDIFLEX® (with separate extension line) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THIS MODEL INCLUDES: • 1 catheter with markings every 5 cm for perfect insertion control • 1 Biotub® extension line (L = 24 cm), made of two materials providing extreme flexibility and total chemical inertia • 1 lipid resistant 3-way stopcock • 1 introducing needle • 1 Luer-Lock 12 ml syringe • 1 double flexibility J guidewire or straight guidewire All products are also available in blister packs. SINGLE LUMEN SELDIFLEX® (with separate extension line) CATHETER Fr (mm) 5 (1.7) GAUGE 16G REFERENCE STRAIGHT GUIDEWIRE J GUIDEWIRE 67258.17 67258J17 67258.17B 67258J17B 67252.17 67252J17 67252.17B 67252J17B 67253.17 67253J17 67253.17B 6 ( 2.0 ) 14G FLOW RATE cm ml/min 15 73 30 20 64 44 30 52 GUIDEWIRE Ø inch (mm) Length cm 67258J20* 67258.20B* 67258J20B* 67252.20* 67252J20* 67252.20B* 67252J20B* 67253.20* 67253J20* 70 mm 15 115 30 20 94 44 30 84 44 7 EXPERTISE IN CRITICAL CARE Ø mm (G) – Length (mm) 1.24 mm (18G) – ( 0.89 ) * Product supplied with a 7 Fr dilator Products with a reference ending with a “B” are available in blister packs. NEEDLE 44 .035 67258.20* 67253.20B* CATH LENGTH Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT SINGLE LUMEN SELDIFLEX® (with integrated extension line) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THE INTEGRATED EXTENSION LINE PROVIDES AN ACCESS DISTANT FROM THE PUNCTURE SITE FOR IMPROVED ASEPSIS. THIS MODEL INCLUDES: • 1 introducing needle • 1 Luer 5 ml syringe • 1 clamp • 1 double flexibility J guidewire • 1 catheter SINGLE LUMEN SELDIFLEX® (with integrated extension line) CATHETER Fr (mm) GAUGE 5 ( 1.7 ) 16G 6 ( 2.0 ) 14G REFERENCE CATH LENGTH PRIMING VOL. FLOW RATE J GUIDEWIRE cm ml ml/min 67261J17 15 0.27 60 67262J17 20 0.35 57 67261J20* 15 0.30 94 67262J20* 20 0.40 83 * Product supplied with a 7 Fr dilator 8 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) .035 ( 0.89 ) Length cm 44 NEEDLE Ø mm (G) – Length (mm) 1.24 mm (18G) – 70 mm CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT SINGLE LUMEN SELDIFLEX® (guidewire introducer syringe) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THE INTEGRATED EXTENSION LINE PROVIDES AN ACCESS DISTANT FROM THE PUNCTURE SITE FOR IMPROVED ASEPSIS. THE GUIDEWIRE INTRODUCER SYRINGE ELIMINATES BLOOD LOSS DURING INSERTION, PREVENTS SURGICAL SITE CONTAMINATION AND PROTECTS FROM THE RISKS OF AIR EMBOLISM. . THIS MODEL INCLUDES: • 1 introducing needle • 1 Luer 5 ml guidewire introducer syringe • 1 clamp • 1 double flexibility J guidewire • 1 catheter SINGLE LUMEN SELDIFLEX® (guidewire introducer syringe) CATHETER Fr (mm) GAUGE 5 ( 1.7 ) 16G 6 ( 2.0 ) 14G REFERENCE CATH LENGTH PRIMING VOL. FLOW RATE GUIDE J cm ml ml/min 67261RJ17 15 0.27 60 67262RJ17 20 0.35 57 67261RJ20* 15 0.30 94 67262RJ20* 20 0.40 83 * Product supplied with a 7 Fr dilator 9 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) .035 ( 0.89 ) Length cm 44 NEEDLE Ø mm (G) – Length (mm) 1.24 mm (18G) – 70 mm Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT SINGLE LUMEN HIGH-FLOW SELDIFLEX® xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx HIGH-FLOW CATHETER, IDEAL FOR EFFICIENT DIALYSIS. PARTICULARLY INDICATED FOR THE COLLECTION OF STEM CELLS. THIS CATHETER HAS AN ATRAUMATIC FLEXIBLE TIP. IT HAS FIXING WINGS, 1 DISTAL OPENING AND 3 LATERAL OPENINGS. THIS MODEL INCLUDES : • 1 multiperforated catheter with markings every 5 cm for perfect insertion control • 1 female Luer-Lock hub • 1 introducing needle • 1 double flexibility J guidewire • 1 dilator (8 Fr L=10 cm) • 1 clamp • 1 injection cap SINGLE LUMEN HIGH-FLOW SELDIFLEX® CATHETER Fr ( mm ) GAUGE 7 ( 2.25 ) 13G REFERENCE CATH LENGTH PRIMING VOL. FLOW RATE J GUIDEWIRE cm ml ml/min 66241.23 15 0.80 310 66242.23 20 1.00 290 10 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) .035 ( 0.89 ) Length cm 44 NEEDLE Ø mm (G) – Length (mm) 1.24 mm (18G) 70 mm CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT DOUBLE LUMEN SELDIFLEX® xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THIS MODEL INCLUDES: • 1 catheter with atraumatic flexible tip and markings every 5 cm for a perfect insertion control • 1 introducing needle • 1 dilator (L = 10 cm) • 1 double flexibility J guidewire or straight guidewire • 2 male Luer-Lock self-obturator caps • 2 clamps of different colours • 1 scalpel • 1 Luer 5 ml syringe • 1 additional fixing wing DOUBLE LUMEN SELDIFLEX® CATHETER Fr (mm) GAUGE 5 STRAIGHT GUIDEWIRE J GUIDEWIRE cm 67621.17 67621J17 14 G 15 18 G 18 G ( 1.7 ) CATH LENGTH REFERENCE 67622.17 14GG 16 67622J17 18 G 18 G 67621.23 67622.23 7 18 G 16 G 16 G 18 G 67622J23* 18 G 18 G 15 20 67623.23 18 G 18 G 67623J23 30 67626.23 18 G 18 G 67626J23 60 14 G 14 14GG ( 2.8 ) 16GG 14 67621J23* 16 G ( 2.3 ) 8.5 20 16 G 13 G 18 G 18 G 13 G 14GG 14 67621.28 18 G 18 G 67621J28* 15 14 G 67622.28 18 G 18 G 67622J28* 20 13 G PRIMING VOL. FLOW RATE ml ml/min PROXIMAL 0.20 20 DISTAL 0.24 23 PORT PROXIMAL 0.25 18 DISTAL 0.25 21 PROXIMAL 0.35 66 DISTAL 0.30 52 PROXIMAL 0.41 48 GUIDEWIRE Ø inch (mm) .024 ( 0.61 ) DISTAL 0.40 50 0.50 36 DISTAL 0.50 40 .035 PROXIMAL 0.65 12 ( 0.89 ) DISTAL 0.70 18 PROXIMAL 0.52 129 DISTAL 0.55 125 PROXIMAL 0.57 108 DISTAL 0.60 116 11 EXPERTISE IN CRITICAL CARE 44 70 Ø mm (G) – Length (mm) 1.07 mm (19G) – 70 mm 44 PROXIMAL * Product also available in a double pack Length cm NEEDLE 70 1.24 mm (18G) – 100 44 70 70 mm Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT DOUBLE LUMEN SELDIFLEX® (guidewire introducer syringe) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THE GUIDEWIRE INTRODUCER SYRINGE ELIMINATES BLOOD LOSS DURING INSERTION, PREVENTS SURGICAL SITE CONTAMINATION AND PROTECTS FROM THE RISKS OF AIR EMBOLISM. THIS MODEL INCLUDES: • 1 catheter with an atraumatic flexible tip and markings every 5 cm for a perfect insertion control • 1 introducing needle • 1 dilator (L = 10 cm) • 1 double flexibility J guidewire or straight guidewire • 2 male Luer-Lock self-obturator caps • 2 clamps of different colours • 1 scalpel • 1 Luer 5 ml guidewire introducer syringe • 1 additional fixing wing DOUBLE LUMEN SELDIFLEX® (guidewire introducer syringe) CATHETER Fr (mm) GAUGE REFERENCE J GUIDEWIRE 67621RJ23 7 ( 2.3 ) 67622RJ23 8.5 ( 2.8 ) 14 G 14 G 67621RJ28 14 G 14 G 67622RJ28 14 G 14 G CATH 18 G 18 G 18 G 18 GLENGTH PORT 16 G 16 G cm 15 16 G 16 G 18 G 18 G 20 18 G 18 G 15 13 G 13 G 18 G 18 G 20 18 G 18 G PRIMING VOL. FLOW RATE ml ml/min PROXIMAL 0.35 66 DISTAL 0.30 52 PROXIMAL 0.41 48 DISTAL 0.40 50 PROXIMAL 0.52 129 DISTAL 0.55 125 PROXIMAL 0.57 108 DISTAL 0.60 116 12 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) Length cm NEEDLE Ø mm (G) – Length (mm) 44 .035 ( 0.89 ) 70 44 70 1.24 mm (18G) – 70 mm CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT TRIPLE LUMEN SELDIFLEX® xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THIS MODEL INCLUDES: • 1 catheter with an atraumatic flexible tip and markings every 5 cm for a perfect insertion control • 1 introducing needle • 1 dilator (L = 10 cm) • 1 double flexibility J guidewire or straight guidewire • 3 male Luer-Lock self-obturator caps • 3 clamps of different colours • 1 scalpel • 1 Luer 5 ml syringe • 1 additional fixing wing TRIPLE LUMEN SELDIFLEX® CATHETER Fr (mm) REFERENCE GAUGE STRAIGHT GUIDEWIRE J GUIDEWIRE CATH LENGTH 18 G 67721.23 67721J23* 15 16 G 67722.23 7 ( 2.3 ) G G 18 G 18 G 18 G 18 G 16 G 18 G 18 G 18 G 18 G G 8.5 ( 2.8 ) 20 14 G G 16 13 G 16 G G 67722J23* 13 G 67723.23 67726.23 67721.28 67723J23 67726J23 67721J28* 30 60 15 18 G 18 G 67722.28 67722J28* FLOW RATE GUIDEWIRE NEEDLE ml ml/min Ø inch Length (mm) cm Ø mm (G) – Length (mm) PROXIMAL 0.32 31 MEDIAL 0.30 27 DISTAL 0.30 60 PROXIMAL 0.35 28 MEDIAL 0.30 21 cm 14 G 18 G PRIMING VOL. PORT 20 DISTAL 0.35 46 PROXIMAL 0.40 21 MEDIAL 0.35 18 DISTAL 0.45 41 PROXIMAL 0.50 11 MEDIAL 0.45 9 DISTAL 0.75 21 PROXIMAL 0.45 30 MEDIAL 0.45 30 DISTAL 0.55 150 PROXIMAL 0.20 20 MEDIAL 0.20 20 DISTAL 0.50 100 * Product also available in a double pack 13 EXPERTISE IN CRITICAL CARE 44 70 1.24 mm (18G) – .035 ( 0. 89 ) 70 mm 100 44 70 Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT TRIPLE LUMEN SELDIFLEX® (guidewire introducer syringe) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THE GUIDEWIRE INTRODUCER SYRINGE ELIMINATES BLOOD LOSS DURING INSERTION, PREVENTS SURGICAL SITE CONTAMINATION AND PROTECTS FROM THE RISKS OF AIR EMBOLISM. THIS MODEL INCLUDES: • 1 catheter with an atraumatic flexible tip and markings every 5 cm for a perfect insertion control • 1 introducing needle • 1 dilator (L = 10 cm) • 1 double flexibility J guidewire • 3 male Luer-Lock self-obturator caps • 3 clamps of different colours • 1 scalpel • 1 Luer 5 ml syringe • 1 additional fixing wing TRIPLE LUMEN SELDIFLEX® (guidewire introducer syringe) 14 G CATHETER 18 G 18 G Fr (mm) 16 G 14 G GAUGE 16 G 16 G cm 67721RJ23 15 67722RJ23 20 18 G 18 G 13 G 14 G 18 G 18 G 14 G 14 G J GUIDEWIRE 18 G 18 G 16 G 14 G CATH LENGTH 18 G 18 G 7 ( 2.3 ) REFERENCE 8.5 ( 2.8 ) 67721RJ28 15 PRIMING VOL. FLOW RATE ml ml/min PROXIMAL 0.32 31 MEDIAL 0.30 27 DISTAL 0.30 60 PROXIMAL 0.35 28 MEDIAL 0.30 21 PORT DISTAL 0.35 46 PROXIMAL 0.45 30 MEDIAL 0.45 30 13 G DISTAL 0.55 150 18 G 18 G PROXIMAL 0.50 20 MEDIAL 0.50 20 DISTAL 0.60 100 67722RJ28 20 14 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) Length cm NEEDLE Ø mm (G) – Length (mm) 44 70 1.24 mm (18G) – 70mm .035 ( 0.89 ) 44 70 CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT FOUR LUMEN SELDIFLEX® xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THIS MODEL INCLUDES: • 1 catheter with an atraumatic flexible tip and markings every 5 cm for a perfect insertion control • 1 introducing needle • 1 dilator (L = 10 cm) • 1 double flexibility J guidewire • 4 male Luer-Lock self-obturator caps • 4 clamps of different colour • 1 scalpel • 1 Luer 5 ml syringe • 1 additional fixing wing FOUR LUMEN SELDIFLEX® CATHETER Fr (mm) GAUGE REFERENCE CATH LENGTH J GUIDEWIRE cm 67821J28* 15 14 G 8.5 ( 2.8 ) 18 G 18 G 67822J28* 20 16 G 16 G 67823J28 18 G 18 G 14 G 14 G 30 PRIMING VOL. FLOW RATE ml ml/min PROXIMAL 0.15 25 MEDIAL 1 0.20 25 MEDIAL 2 0.40 60 DISTAL 0.45 100 PROXIMAL 0.20 20 MEDIAL 1 0.20 20 MEDIAL 2 0.46 50 DISTAL 0.55 90 PROXIMAL 0.20 14 MEDIAL 1 0.20 13 MEDIAL 2 0.50 39 DISTAL 0.70 85 PORT * Product also available in a double pack 13 G 18 G 18 G 15 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) Length cm NEEDLE Ø mm (G) – Length (mm) 44 1.24 mm (18G) – 70 mm .035 ( 0.89 ) 70 14 G 14 G Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT FOUR LUMEN SELDIFLEX® (guidewire introducer syringe) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THE GUIDEWIRE INTRODUCER SYRINGE ELIMINATES BLOOD LOSS DURING INSERTION, PREVENTS SURGICAL SITE CONTAMINATION AND PROTECTS FROM THE RISKS OF AIR EMBOLISM. THIS MODEL INCLUDES: • 1 catheter with an atraumatic flexible tip and markings every 5 cm for a perfect insertion control • 1 introducing needle • 1 dilator (L = 10 cm) • 1 double flexibility J guidewire • 4 male Luer-Lock self-obturator caps • 4 clamps of different colours • 1 scalpel • 1 Luer 5 ml guidewire introducer syringe • 1 additional fixing wing FOUR LUMEN SELDIFLEX® (guidewire introducer syringe) CATHETER Fr (mm) GAUGE REFERENCE CATH LENGTH J GUIDEWIRE cm 14 G 8.5 ( 2.8 ) 18 G 18 G 16 G 67822RJ28 20 PRIMING VOL. FLOW RATE ml ml/min PROXIMAL 0.20 20 MEDIAL 1 0.20 20 MEDIAL 2 0.46 50 DISTAL 0.55 90 PORT 16 G 18 G 18 G 13 G 18 G 18 G 16 EXPERTISE IN CRITICAL CARE GUIDEWIRE NEEDLE Ø inch (mm) Length cm Ø mm (G) – Length (mm) .035 70 1.24 mm (18G) – 70 mm ( 0.89 ) CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT Central venous catheters for tunnelisation (Seldinger technique) The tunnelisation technique offers: • When accessing the internal jugular vein, a 3-fold reduction of the risk of catheter associated sepsis in ICU patients, and a 4-fold reduction of the risk of catheter associated septicemia • When accessing the femoral vein, a 4-fold reduction of the risk of sepsis and a 3-fold reduction of the risk of catheter associated septicemia • Protection of the puncture site with an occlusive dressing • Improvement of patient comfort Markings on the extension lines help to cut the lines and to fit blunt needles safely. 17 EXPERTISE IN CRITICAL CARE Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT SINGLE LUMEN HASSELCATH® (Seldinger technique) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THIS MODEL INCLUDES: • 1 catheter with markings every 5 cm for perfect insertion control • 1 swaged tunnelisation needle • 1 introducing needle • 1 dilator (L= 10 cm) • 1 double flexibility J guidewire or straight guidewire • 1 detachable blunt hub with fixing wing and nut • 1 obturator for tunnelisation needle • 1 scalpel • 1 Luer 5 ml syringe • 1 additional fixing wing SINGLE LUMEN HASSELCATH® (Seldinger technique) CATHETER Fr ( mm ) GAUGE 5 ( 1.7 ) 16G 6 ( 2.0 ) 14G REFERENCE CATH LENGTH FLOW RATE STRAIGHT GUIDEWIRE J GUIDEWIRE cm ml/min 6344.17 6344J17 40 38 6346.17 - 60 78 6344.20 6344J20 40 72 6346.20 6346J20 60 60 18 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) Length cm NEEDLE Ø mm ( G ) – Length ( mm) 70 .035 ( 0.89 ) 100 70 100 1.24 mm (18G) – 70 mm CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT DOUBLE LUMEN SELDIFLEX® FOR TUNNELISATION (Seldinger technique) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THIS MODEL INCLUDES: • 1 catheter with atraumatic flexible tip • 1 swaged tunnelisation needle • 1 introducing needle • 1 dilator (L= 10 cm) • 1 double flexibility J guidewire or straight guidewire • 2 detachable Luer-Lock hubs with fixing wing and nut • 2 male Luer-Lock self-obturator caps • 1 additional fixing wing • 1 obturator for tunnelisation needle • 1 scalpel • 1 Luer 5 ml syringe DOUBLE LUMEN SELDIFLEX® FOR TUNNELISATION (Seldinger technique) CATHETER Fr ( mm ) GAUGE 7 CATH LENGTH REFERENCE STRAIGHT GUIDEWIRE 14JG GUIDEWIRE cm 67643.23 16 G 67643J23 30 67644.23 67644J23 40 18 G 18 G 16 G ( 2.3 ) 14 G 14 G 67645.23 67645J23 18 G 18 G 50 67646.23 67646J23 60 13 G PRIMING VOL. FLOW RATE ml ml/min PROXIMAL 0.55 26 DISTAL 0.50 28 PROXIMAL 0.50 22 DISTAL 0.50 24 PROXIMAL 0.50 20 DISTAL 0.40 22 PROXIMAL 0.75 19 DISTAL 0.65 19 PORT 18 G 18 G 19 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) Length cm NEEDLE Ø mm (G) – Length (mm) 100 .035 ( 0.89 ) 125 1.24 mm (18G) – 70 mm Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT TRIPLE LUMEN SELDIFLEX® FOR TUNNELISATION (Seldinger technique) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THIS MODEL INCLUDES: • 1 catheter with atraumatic flexible tip • 1 swaged tunnelisation needle • 1 introducing needle • 1 dilator (L= 10 cm) • 1 double flexibility J guidewire • 3 detachable Luer-Lock hubs with fixing wing and nut • 3 male Luer-Lock obturator caps • 1 additional fixing wing • 1 obturator for tunnelisation needle • 1 scalpel • 1 Luer 5 ml syringe TRIPLE LUMEN SELDIFLEX® FOR TUNNELISATION (Seldinger technique) 14 G 18 G CATHETER 16 G Fr ( mm ) GAUGE 16 G REFERENCE CATH LENGTH GUIDE J cm 67742J28 25 18 G 18 G 14 G 14 G 18 G 13 G 8.5 ( 2.8 ) 67743J28 30 18 G 18 G 67744J28 67746J28 40 60 PRIMING VOL. FLOW RATE ML ml/min PROXIMAL 0.2 14 MEDIAL 0.2 14 DISTAL 0.6 98 PROXIMAL 0.2 11 MEDIAL 0.2 11 PORT DISTAL 0.7 84 PROXIMAL 0.3 9,5 MEDIAL 0.3 10 DISTAL 0.85 71 PROXIMAL 0.35 8 MEDIAL 0.35 8 DISTAL 1.2 56 20 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) Length cm NEEDLE Ø mm ( G ) – Length ( mm) 100 1.24 mm (18G) – 70 mm .035 ( 0.89 ) 125 CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT Peripheral venous catheters for central access Single lumen catheters for peripheral veins, inserted through the needle. The catheters have markings every 5 cm. 21 EXPERTISE IN CRITICAL CARE Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT ENDOCATH® DEVICE SUPPLIED IN A PROTECTIVE SHEATH FOR ASEPTIC HANDLING. THIS DEVICE INCLUDES: • 1 introducing needle • 1 protective sheath • 1 catheter with markings every 5 cm • 1 pre-assembled blunt hub without wing • 1 needle protector • 1 detachable blunt hub with fixing wings and stylet • 1 blue clamping device ENDOCATH® CATHETER Fr (mm) GAUGE 4 (1.3) 18G 4,5 (1.5) 17G 5 (1.7) 16G CATH LENGTH FLOW RATE NEEDLE cm ml/min Ø mm (G) – Length (mm) 1244.13 40 18 1246.13 60 16 1244.15 40 25 1246.15 60 16 1248.15 75 14 1244.17 40 38 REFERENCE 1246.17 60 28 1248.17 75 20 22 EXPERTISE IN CRITICAL CARE 1.72 mm (16G) – 50 mm 1.92 mm (15G) – 50 mm 2.12 mm (14G) – 50 mm CENTRAL VENOUS I Chap. 1 VASCULAR ACCESS – ADULT Central venous catheters Single lumen central catheters, inserted through the needle. The catheters have markings every 5 cm. 23 EXPERTISE IN CRITICAL CARE Chap. 1 I CENTRAL VENOUS VASCULAR ACCESS – ADULT ENDOFLEX® DEVICE SUPPLIED IN A PROTECTIVE SHEATH FOR ASEPTIC HANDLING. THIS DEVICE INCLUDES: • 1 introducing needle • 1 protective sheath • 1 catheter with markings every 5 cm • 1 pre-assembled blunt hub without wing • 1 detachable blunt hub with fixing wings and stylet • 1 blue clamping device ENDOFLEX® CATHETER Fr (mm) GAUGE 4.5 (1.5) 17G 5 (1.7) 16G 6 (2.0) REFERENCE 14G CATH LENGTH FLOW RATE NEEDLE Ø mm (G) – Length (mm) cm ml/min 1543.15 30 34 1544.15 40 28 1543.17 30 48 1544.17 40 38 1543.20 30 78 1544.20 40 72 1546.20 60 60 24 EXPERTISE IN CRITICAL CARE 1.92 mm (15G) – 70 mm 2.12 mm (14G) – 70 mm 2.42 mm (13G) – 70 mm Chapter 2 ARTERIAL (SELDINGER TECHNIQUE) Arterial catheters for invasive arterial pressure monitoring and blood sampling. • G18 catheters are recommended for femoral and axillary arteries, and maximum G20 catheters for other arteries. • Short lengths (3 to 5 cm) are preferable for small calibre arteries (radial, dorsal pedial). 25 EXPERTISE IN CRITICAL CARE Chap. 2 I ARTERIAL (SELDINGER TECHNIQUE) VASCULAR ACCESS – ADULT PTFE SELDICATH® THIS MODEL IS DESIGNED IN PTFE FOR IMPROVED GLIDING PERFORMANCE AND EASIER INTRODUCTION. THIS MODEL INCLUDES: • 1 catheter • 1 introducing needle • 1 straight guidewire PTFE SELDICATH® CATH LENGTH cm 4 6 CATHETER 11 15 20 30 GUIDEWIRE NEEDLE Fr ( mm ) GAUGE STRAIGHT GUIDEWIRE Ø inch (mm) Length cm Ø mm ( G ) – Length (mm) 3 ( 1.0 ) 20G 3872.10 .019 ( 0.48 ) 22 0.88 mm (20G) - 28 mm 4 ( 1.3 ) 18G 3872.13 .024 ( 0.61 ) 22 1.07 mm (19G) - 38 mm 3 ( 1.0 ) 20G 3873.10 .019 ( 0.48 ) 22 0.88 mm (20G) - 28 mm 4 ( 1.3 ) 18G 3873.13 .024 ( 0.61 ) 22 1.07 mm (19G) - 38 mm 20G 3874C10 .019 ( 0.48 ) 22 0.88 mm (20G) - 40 mm 20G 3874.10 .019 ( 0.48 ) 30 0.88 mm (20G) - 55 mm 18G 3874.13 .024 ( 0.61 ) 22 1.07 mm (19G) - 55 mm 3 ( 1.0 ) 8 REFERENCE 4 ( 1.3 ) 5 ( 1.7 ) 16G 3874.17 .035 ( 0.89 ) 30 1.24 mm (18G) - 55 mm 3 ( 1.0 ) 20G 3876.10 .019 ( 0.48 ) 30 0.88 mm (20G) - 55 mm 4 ( 1.3 ) 18G 3876.13 .024 ( 0.61 ) 30 1.07 mm (19G) - 55 mm 5 ( 1.7 ) 16G 3876.17 .035 ( 0.89 ) 30 1.24 mm (18G) - 55 mm 6 ( 2.0 ) 14G 3876.20 .045 ( 1.14 ) 30 1.62 mm (16G) - 50 mm 3 ( 1.0 ) 20G 3881.10 .019 ( 0.48 ) 30 0.88 mm (20G) - 28 mm 4 ( 1.3 ) 18G 3 ( 1.0 ) 3881.13 .024 ( 0.61 ) 30 1.07 mm (19G) - 38 mm 3881.13L .024 ( 0.61 ) 30 1.07 mm (19G) - 70 mm 20G 3882.10 .019 ( 0.48 ) 44 0.88 mm (20G) - 50 mm 4 ( 1.3 ) 18G 3882.13 .024 ( 0.61 ) 44 1.07 mm (19G) - 70 mm 5 ( 1.7 ) 16G 3882.17 .035 ( 0.89 ) 44 1.24 mm (18G) - 70 mm 6 ( 2.0 ) 14G 3882.20 .045 ( 1.14 ) 44 1.62 mm (16G) - 75 mm 3 ( 1.0 ) 20G 3883.10 .019 ( 0.48 ) 44 0.88 mm (20G) - 50 mm 4 ( 1.3 ) 18G 3883.13 .024 ( 0.61 ) 44 1.07 mm (19G) - 70 mm 5 ( 1.7 ) 16G 3883.17 .035 ( 0.89 ) 44 1.24 mm (18G) - 70 mm 6 ( 2.0 ) 14G 3883.20 .045 ( 1.14 ) 44 1.62 mm (16G) - 75 mm 26 EXPERTISE IN CRITICAL CARE ARTERIAL (SELDINGER TECHNIQUE) I Chap. 2 VASCULAR ACCESS – ADULT PU SELDICATH® (with extension line and safety loop) THIS MODEL IS DESIGNED IN PU: IT REDUCES THE RISK OF KINKING DURING INSERTION IN THE RADIAL ARTERY, PARTICULARLY IN AGITATED PATIENTS. THE EXTENSION LINE PROVIDES AN ACCESS DISTANT FROM THE PUNCTURE SITE. THIS MODEL INCLUDES: • 1 catheter • 1 introducing needle • 1 straight guidewire • 1 safety loop PU SELDICATH® (with extension line and safety loop) CATH LENGTH CATHETER REFERENCE GUIDEWIRE NEEDLE cm Fr ( mm ) GAUGE STRAIGHT GUIDEWIRE Ø inch (mm) Length cm Ø mm ( G ) – Length (mm) 4 3 ( 0.9 ) 20G 3842.09 .019 ( 0.48 ) 30 0.88 mm (20G) - 28 mm 3 ( 0.9 ) 20G 3843.09 .019 ( 0.48 ) 30 0.88 mm (20G) - 40 mm 4 ( 1.2 ) 18G 3843.12 .024 ( 0.61 ) 30 1.07 mm (19G) - 38 mm 3 ( 0.9 ) 20G 3844.09 .019 ( 0.48 ) 30 0.88 mm (20G) - 40 mm 6 8 4 ( 1.2 ) 18G 3844.12 .024 ( 0.61 ) 30 1.07 mm (19G) - 38 mm 3 ( 0.9 ) 20G 3846.09 .019 ( 0.48 ) 44 0.88 mm (20G) - 50 mm 4 ( 1.2 ) 18G 3846.12 .024 ( 0.61 ) 44 1.07 mm (19G) - 55 mm 15 4 ( 1.2 ) 18G 3848.12 .024 ( 0.61 ) 44 1.07 mm (19G) - 70 mm 20 4 ( 1.2 ) 18G 3849.12 .024 ( 0.61 ) 44 1.07 mm (19G) - 70 mm 11 27 EXPERTISE IN CRITICAL CARE Chapter 3 EMERGENCY AND HEMODIALYSIS Devices designed for emergency catheterisation of large vessels (hemodialysis, transfusion). 28 EXPERTISE IN CRITICAL CARE EMERGENCY AND HEMODIALYSIS I Chap. 3 VASCULAR ACCESS – ADULT SINGLE LUMEN HEMO SELDIFLEX® (Seldinger technique) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx CATHETER WITH FLEXIBLE AND ATRAUMATIC TIP. THIS MODEL INCLUDES: • 1 multiperforated catheter with markings every 5 cm for perfect insertion control • 1 female Luer-Lock hub • 1 introducing needle • 1 double flexibility J guidewire • 1 dilator (9 Fr L=10 cm) • 1 clamp • 1 injection cap SINGLE LUMEN HEMO SELDIFLEX® (Seldinger technique) CATHETER Fr ( mm ) GAUGE 8 ( 2.7 ) 12G REFERENCE CATH LENGTH PRIMING VOL. FLOW RATE J GUIDEWIRE cm ml ml/min 66241.27 15 0.90 440 66242.27 20 1.10 400 29 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) Length cm .035 ( 0.89 ) 44 NEEDLE Ø mm ( G ) – LENGTH ( mm) 1.24 mm (18G) 70 mm Chap. 3 I EMERGENCY AND HEMODIALYSIS VASCULAR ACCESS – ADULT HEMOFLEX KIT FOR EMERGENCY CATHETERISATION OF LARGE VESSELS (HEMODIALYSIS, HEMOFILTRATION, TRANSFUSION). THIS MODEL INCLUDES: • 1 introducing needle • 1 dilator (8 Fr L = 25 cm) • 1 sheath with female Luer Lock, two lateral openings and a clamping zone • 1 straight flexible guidewire • 1 clamp HEMOFLEX CATHETER Fr (mm) 8 ( 2.7 ) GAUGE 12G REFERENCE CATH LENGTH PRIMING VOL. FLOW RATE STRAIGHT GUIDEWIRE cm ml ml/min 66311.27 11 0.8 560 66313.27 13 0.9 550 66318.27 18 1.2 530 30 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) .035 ( 0.89 ) Length cm 44 NEEDLE Ø mm (G) – Length (mm) 1.24 mm (18G) 70 mm EMERGENCY AND HEMODIALYSIS I Chap. 3 VASCULAR ACCESS – ADULT TWO LUMEN HEMO SELDIFLEX® (Seldinger technique) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx THIS MODEL INCLUDES: • 1 non-coaxial catheter with 2 extension lines and: - 1 junction with rotating fixing wing for easier fixing and re-positionning - 6 “arterial” lateral openings - 3 “venous” lateral and distal openings - 1 flexible atraumatic tip - 1 Centimetric marking • 1 introducing needle • 1 double flexibility J guidewire • 1 dilator • 2 clamps red and blue • 2 Luer-Lock injection caps • 1 Luer 5 ml syringe • 1 scalpel TWO LUMEN HEMO SELDIFLEX® (Seldinger technique) STRAIGHT AND CURVED EXTENSION LINE CATHETER Fr (mm) 12 ( 4.0 ) GAUGE 12 G 12 G 12 G 12 G 12 G 14 ( 4.7 ) 12 G 12GG 10 REFERENCE CATH LENGTH STRAIGHT EXTENSION CURVED EXTENSION cm 66641J40* 66641J40C* 16 66642J40* 66642J40C* 21 66641J47* 66641J47C* 16 10 G 10 G 66642J47** 66642J47C** 20 PRIMING VOL. FLOW RATE ml ml/ min PROXIMAL 1.2 370 DISTAL 1.3 320 PROXIMAL 1.4 350 DISTAL 1.5 300 PROXIMAL 1.6 450 DISTAL 1.5 400 PROXIMAL 1.7 460 PORT DISTAL 1.9 390 PROXIMAL 2.0 410 DISTAL 2.1 350 10 G 66643J47** 66643J47C** 24 12 G 12 G 12 G *Dilator 10 Fr L=20 cm **Dilator 12 Fr L=10 cm 31 EXPERTISE IN CRITICAL CARE GUIDEWIRE Ø inch (mm) .038 ( 0.97 ) NEEDLE Length Ø mm (G) – cm Length (mm) 60 1.42 mm (17G) – 75 mm Chap. 3 I EMERGENCY AND HEMODIALYSIS VASCULAR ACCESS – ADULT THREE LUMEN HEMO SELDIFLEX® (Seldinger technique) xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx 2 LUMEN FOR HEMODIALYSIS AND ONE ADDITIONAL LUMEN FOR DRUG INJECTION OR CVP MONITORING. THIS MODEL INCLUDES: • 1 non-coaxial catheter with 3 extension lines and: - 1 junction with rotating fixing wing for easier fixing and re-positionning - 5 “arterial” lateral openings - 5 “venous” lateral openings - 1 flexible, atraumatic tip - 1 Centimetric marking • 1 introducing needle • 1 double flexibility J guidewire with markings • 2 dilators 10 Fr L = 20 cm and 12 Fr L = 11 cm • 3 clamps (red, blue and blue) • 3 Luer-Lock injection caps • 1 Luer 5 ml syringe • 1 scalpel THREE LUMEN HEMO SELDIFLEX® (Seldinger technique) STRAIGHT AND CURVED EXTENSION CATHETER Fr ( mm ) 12 ( 4.0 ) 12 G STRAIGHT EXTENSION 10 G 12 G 10 G GAUGE 12 G 12 G CATH LENGTH REFERENCE 66751J40 66752J40 CURVED EXTENSION 66751J40C - - FLOW RATE GUIDEWIRE NEEDLE ml ml/min Ø inch Length (mm) cm Ø mm ( G ) – Length ( mm) PROXIMAL 1.1 290 MEDIAL 0.5 300 DISTAL 1.2 60 PROXIMAL 1.3 280 MEDIAL 0.5 270 DISTAL 1.4 55 PROXIMAL 1.3 280 MEDIAL 0.5 270 DISTAL 1.4 55 cm 15 20 17 G 66753J40 PRIMING VOL. PORT 24 32 EXPERTISE IN CRITICAL CARE .035 ( 0.89 ) 45 1.24 mm (18G) - 70 mm Chapter 4 ACCESSORIES 33 EXPERTISE IN CRITICAL CARE Chap. 4 I ACCESSORIES VASCULAR ACCESS – ADULT Introducers and needles The introducers are placed in the vascular system using the Seldinger technique. où l’ensemble gaine / dilatateur est introduit DESIL-INTRO® Standard THIS MODEL INCLUDES: • 1 introducing needle • 1 dilator • 1 straight guidewire • 1 sheath to introduce catheters, cardiovascular catheters, etc. DESIL-INTRO® Standard CATHETER REFERENCE Fr ( mm ) COLOR 4 ( 1.3 ) RED CATH LENGTH DILATOR cm Length cm 2874.13 ( 1.7 ) SILVER 5 ( 1.7 ) SILVER 2875.17 6 ( 2.0 ) GREEN 2875.20 ( 2.3 ) ORANGE 2875.23 8 ( 2.7 ) BLUE 2875.27 9 ( 3.0 ) BLACK 2875.30 PINK 2875.33 ( 3.3 ) Length cm 30 14 NEEDLE Ø mm ( G ) – Length ( mm) 1.07 mm (19G) - 2874.17 7 10 Ø inch (mm) .024 (0.61) 7.5 5 STRAIGHT GUIDEWIRE 38 mm 1.24 mm (18G) 55 mm 11.5 21 34 EXPERTISE IN CRITICAL CARE .035 ( 0.89 ) 44 1.24 mm (18G) 70 mm ACCESSORIES I Chap. 4 VASCULAR ACCESS – ADULT DESIL-INTRO® Peel-away sheath THIS MODEL INCLUDES: • 1 introducing needle • 1 dilator • 1 double flexibility J guidewire • 1 peel-away sheath to introduce catheters, cardiovascular catheters, etc. DESIL-INTRO® Peel-away sheath CATHETER REFERENCE Fr ( mm ) COLOR 4 ( 1.3 ) RED 2867.13 5 ( 1.7 ) SILVER 2867.17 6 ( 2.0 ) GREEN 2867.20 7 ( 2.3 ) ORANGE 2867.23 8 ( 2.7 ) BLUE 2867.27 9 ( 3.0 ) WHITE 2867.30 PINK 2867.33 10 ( 3.3 ) CATH LENGTH DILATOR cm Length cm J GUIDEWIRE Ø inch (mm) Length cm 20 .035 ( 0.89 ) 35 EXPERTISE IN CRITICAL CARE Ø mm (G ) – Length (mm) 1.07 mm (19G) - 38 mm .024 (0.61) 13,5 NEEDLE 44 1.24 mm (18G) - 70 mm Chap. 4 I ACCESSORIES VASCULAR ACCESS – ADULT DESIL-INTRO® Pre-split sheath THIS MODEL INCLUDES: • 1 introducing needle • 1 dilator • 1 straight guidewire • 1 pre-split sheath to introduce catheters, cardiovascular catheters, etc. DESIL-INTRO® Pre-split sheath CATHETER REFERENCE Fr ( mm ) COLOR 6 à 7 ( 2.0 à 2.3) SILVER 2857.20 7 à 8 ( 2.3 à 2.7) GREEN 2857.23 8 à 9 ( 2.7 à 3.0) ORANGE 2857.27 9 à 10 ( 3.0 à 3.3) BLUE 2857.30 CATH LENGTH DILATOR cm Length cm 13.5 21 36 EXPERTISE IN CRITICAL CARE STRAIGHT GUIDEWIRE Ø inch (mm) .035 ( 0.89 ) NEEDLE Length cm Ø mm (G ) – Length (mm) 44 1.24 mm (18G) - 70 mm ACCESSORIES I Chap. 4 VASCULAR ACCESS – ADULT MICRODARD® NEEDLE NEEDLE TO INTRODUCE A CATHETER OR A GUIDEWIRE. THIS MODEL INCLUDES: • 1 introducing needle MICRODARD® NEEDLE NEEDLE Ø mm (G ) – Length (mm) REFERENCE FOR CATHETER Fr / mm 1.42 mm (17G) - 55 mm 1915.10 3 ( 1.0 ) 1.42 mm (17G) - 75 mm 1917.10 3 ( 1.0 ) 1.72 mm (16G) - 35 mm 1913.13 4 ( 1.3 ) 2.12 mm (14G) - 70 mm 1917.17 5 ( 1.7 ) 2.42 mm (13G) - 70 mm 1917.20 6 ( 2.0 ) NEEDLE Ø mm (G ) – Length (mm) REFERENCE FOR GUIDEWIRE " / inch 0.88 mm (20G) - 28 mm 1912.13 .019 and .025 0.88 mm (20G) - 55 mm 1935.07 .019 and .025 1.42 mm (17G) - 75 mm 1938.10 .032 and .035 and .038 1.62 mm (16G) - 75 mm 1938.13 .045 37 EXPERTISE IN CRITICAL CARE Chap. 4 I ACCESSORIES VASCULAR ACCESS – ADULT Infusion filters ROUND FILTER ROUND, ANTIBACTERIAL FILTER WITH A HYDROPHILIC MEMBRANE DESIGNED TO ELIMINATE PARTICLES FROM SMALL VOLUME SOLUTIONS. THIS FILTER IS USED DURING EPIDURAL ANALGESIA (ADMINISTERING AND DRAWING), AND DURING EXTEMPORANEOUS PREPARATION OR INTRAVENOUS ADMINISTRATION OF SOLUTIONS. • Porosity: 0.2 μm • Diameter: 25 mm • Total filtering surface area: 2.8 cm² • Pressure resistance: 75 psi (5 bar) • Flow rate measured at 45 psi (3 bar): 145 cm3/min • Female Luer-Lock inlet connector, male Luer-Lock outlet connector REFERENCE 38 EXPERTISE IN CRITICAL CARE 6924.192 ACCESSORIES I Chap. 4 VASCULAR ACCESS – ADULT FLAT FILTER for IV infusion adult FLAT FILTER TO ELIMINATE PARTICLES, BACTERIA AND AIR BUBBLES IN THE INFUSION LINE. THE FILTER MUST BE FITTED ONTO THE INFUSION LINE AS CLOSE AS POSSIBLE TO THE CATHETER. IT CAN BE USED WITH AN INFUSION PUMP OR A GRAVITY INFUSION SET. • Porosity: 0.2 μm • Total filtering surface area: 14.3 cm² • Pressure resistance: 45 psi (3 bar) • Flow rate (under 90 cm H2O): 20 ml/min • 2 air outlets: 0.02 μm hydrophobic membrane • Inlet tubing: Ø 2,7 mm, L 100 mm • Outlet tubing: Ø 2,7 mm, L 150 mm • Female Luer-Lock inlet connector, male Luer-Lock outlet connector REFERENCE 6942.002 FLAT FILTER for IV infusion adult with Y FLAT FILTER TO ELIMINATE PARTICLES, BACTERIA AND AIR BUBBLES IN THE INFUSION LINE. THE FILTER CAN SUSTAIN THE HIGH PRESSURES EXERTED BY PERISTALTIC AND SYRINGE PUMPS. IT CAN BE USED WITH INFUSIONS DELIVERED THROUGH A PUMP OR BY GRAVITY. THE FILTER MUST BE FITTED ONTO THE INFUSION LINE AS CLOSE AS POSSIBLE TO THE CATHETER. • Porosity: 1.2 μm • Total filtering surface area: 10 cm² • Pressure resistance: 45 psi (3 bar) • Flow rate (under 90 cm H2O): 20 ml/min • 2 air outlets: 0.02 μm hydrophobic membrane • Y-line: Ø 2.7 mm • Female Luer-Lock inlet connector, male Luer-Lock outlet connector REFERENCE 39 EXPERTISE IN CRITICAL CARE 6942.102 Chap. 4 I ACCESSORIES VASCULAR ACCESS – ADULT FLAT FILTER for infusion of emulsions (parenteral nutrition) FLAT FILTER TO ELIMINATE PARTICLES, BACTERIA AND AIR BUBBLES IN THE INFUSION LINE. THE FILTER IS SUITABLE FOR ALL PARENTERAL NUTRITION INFUSIONS. IT CAN BE USED WITH INFUSIONS DELIVERED THROUGH A PUMP OR BY GRAVITY. • Porosity: 1.2 μm • Total filtering surface area: 10 cm² • Pressure resistance: 45 psi (3 bar) • Flow rate (under 90 cm H2O): 120 ml/min • 2 air outlets: 0.02 μm hydrophobic membrane • 1 protection cap on the male and female hubs • Female Luer-Lock inlet connector, male Luer-Lock outlet connector REFERENCE 6952.012 FLAT FILTER for epidural anesthesia FLAT FILTER TO ELIMINATE PARTICLES, BACTERIA DURING EPIDURAL ANESTHESIA. • Porosity: 0.2 μm • Diameter: 25 mm • Total filtering surface area: 4.3 cm² • Pressure resistance: 75 psi (5.2 bar) • Flow rate (under 88.2 cm H2O): 200 ml/min • Priming volume : 0.7 ml • Female Luer-Lock inlet connector, male Luer-Lock outlet connector REFERENCE 40 EXPERTISE IN CRITICAL CARE 6104.910 ACCESSORIES I Chap. 4 VASCULAR ACCESS – ADULT Repair kits These kits contain spare parts for various Plastimed devices. REPAIR KIT for Hasselcath® REPAIR KIT FOR HASSELCATH® THE KIT INCLUDES: • 1 detachable blunt hub with fixing wings and nut • 1 stylet • 1 safety clamp REFERENCE REPAIR KIT 98634.13* FOR HASSELCATH 4 Fr 98634.17 FOR HASSELCATH 5 Fr 98634.20 FOR HASSELCATH 6 Fr * Model supplied with a clamping device instead of the nut. 41 EXPERTISE IN CRITICAL CARE Chap. 4 I ACCESSORIES VASCULAR ACCESS – ADULT REPAIR KIT for Seldiflex® for tunnelisation THE KIT INCLUDES: • 1 detachable blunt hub with fixing wings • 1 nut • 1 stylet • 1 safety clamp REPAIR KIT FOR SELDIFLEX® FOR TUNNELISATION REFERENCE REPAIR KIT 9867641.7 FOR DOUBLE LUMEN SELDIFLEX FOR TUNNELISATION 9867741.7 FOR TRIPLE LUMEN SELDIFLEX FOR TUNNELISATION REPAIR KIT for Endocath® THE KIT INCLUDES: • 1 blunt needle with stylet fitting the catheter inner diameter • 1 safety clamp REPAIR KIT FOR ENDOCATH® REFERENCE Ø BLUNT NEEDLE REPAIR KIT 9812.10 1.22 x 1.42 FOR ENDOCATH 3 Fr 9812.13 0.95 x 1.15 FOR ENDOCATH 4 Fr 9812.15 0.85 x 1.05 FOR ENDOCATH 4.5 Fr 9812.17 0.72 x 0.92 FOR ENDOCATH 5 Fr 42 EXPERTISE IN CRITICAL CARE ACCESSORIES I Chap. 4 VASCULAR ACCESS – ADULT Monitoring MANOMETER DEVICE DESIGNED TO MONITOR THE VENOUS PRESSURE ON AN INFUSION LINE CONNECTED TO A CENTRAL VENOUS CATHETER. 2 FIXING RINGS TO SUIT ALL INFUSION STANDS. THIS MODEL INCLUDES: • 1 manometer tube 38 cm long • 1 3-way stopcock • 1 extension line with male Luer-Lock hub • 1 distal line protector • 1 floating reading bead (green) • 1 sliding indicator (blue) MANOMETRE EXTENSION MODEL REFERENCE long. cm Ø int mm EXTENSION LINE WITH Y + INJECTION SITE GRADUATED LINE 4 TO 34 cm STOPCOCK SIMPLE 3684.11 / / - ✗ ✗ FOR GRADUATED STAND 3677.20 150 2.0 - - ✗ 3686.20 100 2.0 - ✗ ✗ 3687.20 150 2.0 - ✗ ✗ 3686.27 100 2.7 ✗ ✗ ✗ 3687.27 150 2.7 ✗ ✗ ✗ WITH PVC EXTENSION LINE WITH PVC Y-SHAPED EXTENSION LINE WITH INJECTION SITE 43 EXPERTISE IN CRITICAL CARE Chap. 4 I ACCESSORIES VASCULAR ACCESS – ADULT PRESSURE SET SINGLE-USE PRESSURE TRANSDUCERS DELTRAN II, DESIGNED BY UTAH MEDICAL PRODUCTS, PROVIDE GREAT ACCURACY TO THE SYSTEM. THE FLUSH, CONNECTED TO AN INFUSION LINE UNDER 300 MMHG, PROVIDES A FLOW RATE OF 3 ML/HOUR. THIS MODEL INCLUDES: • 1 simple or double administration set • 1 or 2 single use transducers with flush: Deltran II • 1 flush • 1 3-way stopcock • 1 extension tube Connectub • 1 extension tube Connectub with stopcock • 1 cap PRESSURE SET REFERENCE TRANSDUCER ADMINISTRATION SET 84188U23 1 SIMPLE 84288U23 2 DOUBLE 44 EXPERTISE IN CRITICAL CARE ACCESSORIES I Chap. 4 VASCULAR ACCESS – ADULT Hubs and caps Caps, hubs, Y for infusion, pressure and drainage lines HUBS AND CAPS THIS MODEL INCLUDES ANY OF THE FOLLOWING: • Male, female caps • Male/male hubs, female/female hubs • Male or female hubs/ catheter tip • Y hubs • Female Luer Lock hubs. HUBS AND CAPS REFERENCE DESCRIPTION QUANTITY PER BOX 9911.55 FEMALE CAP LL 50 9925.17 HUB MLL/M CONICAL Ø 6 TO 12 mm 25 9935.17 HUB FLL/M CONICAL Ø 6 TO 12 mm 50 9952.44 HUB Y, 1 MLL/2 FLL 25 9928.77 HUB MALE/MALE LL 50 9929.77 HUB MLL/MLL ROTATING 50 9939.22 HUB FEMALE/FEMALE LL 50 45 EXPERTISE IN CRITICAL CARE Chap. 4 I ACCESSORIES VASCULAR ACCESS – ADULT Other accessories t GUIDEWIRE THIS MODEL INCLUDES: • 1 guidewire protector • 1 protective cap • 1 guidewire GUIDEWIRE REFERENCE GUIDEWIRE Ø inch (mm) Length cm FORM 4812.19 .019 ( 0.48 ) 44 STRAIGHT 4812.24 .024 ( 0.61 ) 44 STRAIGHT 4830.19 .019 ( 0.48 ) 30 J 4892.35 .035 ( 0.89 ) 44 J 4894.35C* .035 ( 0.89 ) 70 J 4895.35* .035 ( 0.89 ) 100 J 4896.38 .038 ( 0.97 ) 125 J * Model with markings 46 EXPERTISE IN CRITICAL CARE 1 RIGID END / 1 FLEXIBLE END ‘’J’’ 3 mm DOUBLE FLEXIBILITE ENDS ( J AND STRAIGHT ) ACCESSORIES I Chap. 4 VASCULAR ACCESS – ADULT DEVICE FOR TUNNELISATION THESE DEVICES ARE MAINLY DESIGNED FOR THE TUNNELISATION OF A CATHETER FOR JUGULAR, SUBCLAVIAN, AXILLARY AND FEMORAL ACCESS, PROVIDING AN INITIAL PUNCTURE SITE DISTANT FROM THE OUTLET SITE. THE DEVICE INCLUDES: • 1 trocar (L = 28 cm) • 1 sheath (L = 27 cm) DEVICE FOR TUNNELISATION INTRODUCTEUR Ø mm ( G ) – Length ( mm ) 1.42 mm (17G) 28 mm 1.42 mm (17G) 28 mm FOR CATHETER REFERENCE Fr / mm 2947.17 5 ( 1.7 ) 2947.20 6 ( 2.0 ) HOLDER FOR RAMPS OF STOPCOCKS suitable for all infusion stands NON STERILE PRODUCT REFERENCE 9842.07 SCREWS FOR RAMP HOLDERS 47 EXPERTISE IN CRITICAL CARE SIAM.1605 Measuring unit conversion tables TEMPERATURES NEEDLES OUTER DIAMETERS NEEDLES OUTER DIAMETERS C° F° U.S. GAUGE inch mm inch mm Ch=FG=Fr 200° 392° 30 .012 0.31 .013 0.33 1 130° 266° .019 0.48 100° 212° 29 .013 0.33 28 .014 0.36 .020 0.51 40° 104° 27 .016 0.41 .021 0.53 39.4° 103° 26 .018 0.46 .023 0.58 38.9° 102° 25 .020 0.51 .024 0.61 38.3° 101° 24 .022 0.56 .025 0.63 37.8° 100° 23 .025 0.63 22 .028 0.71 .028 0.71 37.2° 99° 21 .032 0.81 .032 0.81 36.2° 98° 20 .035 0.89 .035 0.89 36.1° 97° .038 0.97 .0394 1 32° 0° LENGTHS 19 .042 1.10 18 .049 1.24 17 .058 1.47 .043 1.09 16 .065 1.65 .045 1.14 15 .072 1.83 inch mm 14 .083 2.11 .0524 1.33 4 1/16 1.6 13 .095 2.41 .059 1.50 4.5 1/8 3.2 12 .109 2.77 .060 1.52 1/4 6.35 11 .120 3.05 .066 1.67 3/8 9.5 10 .134 3.40 .068 1.73 1/2 12.7 5/8 16 10 .148 3.76 .071 1.80 3/4 19 10 .165 4.20 .075 1.90 10 .180 4.57 .079 2 .083 2.12 .087 2.21 .090 2.29 .092 2.33 .095 2.41 .098 2.49 0.100 2.54 0.102 2.60 0.105 2.67 0.110 2.80 0.118 3 9 0.131 3.33 10 0.144 3.67 11 0.157 4 12 0.170 4.33 13 0.184 4.67 14 0.197 5 15 0.209 5.33 16 0.236 6 18 1 25.4 1 1/4 32 1 1/2 38 1 1/3 44 2 50.8 2 1/4 57 2 1/2 63 2 3/4 70 3 76 3 1/4 82 3 1/2 90 4 102 CUBIC FOOT 5 127 CUBIC DECIMETRE 6 152 CUBIC INCH 7 178 CUBIC CENTIMETER 8 203 9 229 LITER 10 254 BRITISH GALLON WEIGHT 1 pound (lb) = 0.450 Kg 1 kg = 2.21 pounds (lb) SURFACES SQUARE INCH sq. in SQUARE CENTIMETER cm 2 = 6.451 cm 2 = 0.155 sq. in PRESSURES POUND / SQUARE INCH (p.s.i) 1 kg / cm = 0.068 cm = 1 bar 2 2 = 1.47 p.s.i VOLUMES cu. ft. U.S. GALLON cm 1 30.5 2 61 = 28.317 dm = 16.387 cm cm = .06 cu. in. 3 l l = 3.7854 l = 4.5461 l = .22 Br. gal. LINE PRIMING VOLUMES Interior Ø 3 = .274 u.s. gal. Br. gal. 6 7 8 3 = .0035 cu. ft. cu. in. u.s. gal. LITER foot dm 3 5 Volume per 10 cm 3 91 1 mm 8 mm 3 0.08 ml 0.263 6.67 20 3.28 100 1.5 mm 0.15 cm 3 0.15 ml 0.275 7 21 4 122 2 mm 0.31 cm 3 0.31 ml 0.288 7.33 22 5 152 2.5 mm 0.49 cm 3 0.49 ml 0.316 8 24 6 183 0.354 9 27 10 305 0.394 10 30 48 EXPERTISE IN CRITICAL CARE Reference index REFERENCE PAGE REFERENCE PAGE REFERENCE PAGE 1244.13 22 2875.33 34 4892.35 47 1244.15 22 2947.17 47 4894.35C 47 1244.17 22 2947.20 47 4895.35 47 1246.13 22 3677.20 43 4896.38 47 1246.15 22 3684.11 43 6104.910 40 1246.17 22 3686.20 43 6344.20 18 1248.15 22 3686.27 43 6344J20 18 1248.17 22 3687.20 43 6346.20 18 1543.15 24 3687.27 43 6346J20 18 1543.17 24 3842.09 27 66241.23 10 1543.20 24 3843.09 27 66241.27 29 1544.15 24 3843.12 27 66242.23 10 1544.17 24 3844.09 27 66242.27 29 1544.20 24 3844.12 27 66311.27 30 1546.17 24 3846.09 27 66313.27 30 1546.20 24 3846.12 27 66318.27 30 1912.13 37 3848.12 27 66641J40 31 1913.13 37 3849.12 27 66641J40C 31 1915.10 37 3872.10 26 66641J47 31 1917.10 37 3872.13 26 66641J47C 31 1917.17 37 3873.10 26 66642J40 31 1917.20 37 3873.13 26 66642J40C 31 1935.07 37 3874.10 26 66642J47 31 1938.10 37 3874.13 26 66642J47C 31 1938.13 37 3874.17 26 66643J47 31 2857.20 36 3874C10 26 66643J47C 31 2857.23 36 3876.10 26 66751J40 32 2857.27 36 3876.13 26 66751J40C 32 2857.30 36 3876.17 26 66752J40 32 2867.13 35 3876.20 26 66753J40 32 2867.17 35 3881.10 26 67252.17 7 2867.20 35 3881.13 26 67252.17B 7 2867.23 35 3881.13L 26 67252.20 7 2867.27 35 3882.10 26 67252.20B 7 2867.30 35 3882.13 26 67252J17 7 2867.33 35 3882.17 26 67252J17B 7 2867.37 35 3882.20 26 67252J20 7 2874.13 34 3883.10 26 67252J20B 7 2874.17 34 3883.13 26 67253.17 7 2875.17 34 3883.17 26 67253.17B 7 2875.20 34 3883.20 26 67253.20 7 2875.23 34 4812.19 46 67253.20B 7 2875.27 34 4812.24 46 67253J17 7 2875.30 34 4830.19 46 67253J20 7 49 EXPERTISE IN CRITICAL CARE REFERENCE INDEX VASCULAR ACCESS – ADULT REFERENCE PAGE REFERENCE PAGE REFERENCE PAGE 67258.17 7 67623.23 11 67821J28 15 67258.17B 7 67623J23 11 67822J28 15 67258.20 7 67626.23 11 67822RJ28 16 67258.20B 7 67626J23 11 67823J28 15 67258J17 7 67643.23 19 6924.192 38 67258J17B 7 67643J23 19 6942.002 39 67258J20 7 67644.23 19 6942.102 39 67258J20B 7 67644J23 19 6952.012 40 67261J17 8 67645.23 19 84188U23 44 67261J20 8 67645J23 19 84288U23 44 67261RJ17 9 67646.23 19 9812.10 42 67261RJ20 9 67646J23 19 9812.13 42 67262J17 8 67721.23 13 9812.15 42 67262J20 8 67721.28 13 9812.17 42 67262RJ17 9 67721J23 13 9842.07 47 67262RJ20 9 67721J28 13 98634.13 41 67621.17 11 67721RJ23 14 98634.17 41 67621.23 11 67721RJ28 14 98634.20 41 67621.28 11 67722.23 13 9867641.7 42 67621J17 11 67722.28 13 9867741.7 42 67621J23 11 67722J23 13 9911.55 45 67621J28 11 67722J28 13 9925.17 45 67621RJ23 12 67722RJ23 14 9928.77 45 67621RJ28 12 67722RJ28 14 9929.77 45 67622.17 11 67723.23 13 9935.17 45 67622.23 11 67723J23 13 9939.22 45 67622.28 11 67726.23 13 9952.44 45 67622J17 11 67726J23 13 67622J23 11 67742J28 20 67622J28 11 67743J28 20 67622RJ23 12 67744J28 20 67622RJ28 12 67746J28 20 50 EXPERTISE IN CRITICAL CARE The descriptions and images in this catalogue are not legally binding. www.plastimed.fr www.prodimed.com Sales Department 6 rue Louis Armand 95130 Le Plessis Bouchard - FRANCE Telephone: +33 (0)1.34.44.15.15 – Fax: +33 (0)1.30.72.22.08 Email: [email protected] Manufacturer Prodimed 6 rue Louis Armand 95130 Le Plessis Bouchard - FRANCE SYS 1911 - catplast-VA-v1-2012
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